Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00020 | Date 01/08/2018 |
| Token No | SM/19-20/6166 10/07/2019 | Serial | 034 Last Visit: 17/06/2025 |
| Patient Name | Miss DEBI DAS | Contact No | |
| Address | 132 A. P. GHOSH ROAD | Age | 54 Years,5 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||