Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05032 | Date 07/05/2019 |
| Token No | SM/19-20/2308 07/05/2019 | Serial | 089 Last Visit: 23/06/2025 |
| Patient Name | Mrs. KAKALI ROY | Contact No | 9674357914 |
| Address | 37 MUKHERJEE PARA , BAIDYABATI(M) | Age | 43 Years,2 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||