Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02966 | Date 11/01/2019 |
| Token No | SM/19-20/5310 25/06/2019 | Serial | 066 Last Visit: 18/09/2025 |
| Patient Name | Mrs. MOUSUMI DE | Contact No | 8820344589 |
| Address | 4 CHATRA CHOWDHURY PARA | Age | 42 Years,8 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||