Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05623 | Date 29/06/2019 |
| Token No | SM/19-20/5602 29/06/2019 | Serial | 035 Last Visit: 16/12/2025 |
| Patient Name | Mrs. RIMPA MAJHI | Contact No | 7980691926 |
| Address | 62/A SC CHATTERJEE SARANI | Age | 33 Years,9 Months,11 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||