Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01777 | Date 30/10/2018 |
| Token No | SM/19-20/3005 20/05/2019 | Serial | 053 Last Visit: 14/08/2025 |
| Patient Name | Mrs. KAKALI PARUI | Contact No | 8232965441 |
| Address | 4/A SUDHIR CH. ROY LANE CHATRA SERAMPORE | Age | 38 Years,7 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||