Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08358 | Date 16/06/2020 |
| Token No | SM/19-20/23146 16/06/2020 | Serial | 017 Last Visit: 06/06/2025 |
| Patient Name | Mrs. JARINA BINI | Contact No | 7549334527 |
| Address | 227, SCM ROAD , BAIDYABATI(M) | Age | 52 Years,5 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||