Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05972 | Date 26/07/2019 |
| Token No | SM/19-20/7387 26/07/2019 | Serial | 056 Last Visit: 26/07/2025 |
| Patient Name | Mrs. SONALI KOLEY | Contact No | 9883327449 |
| Address | 96 CHATRA MANNA PARA RAMKRISHNA ROAD , BAIDYABATI(M) | Age | 36 Years,6 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||