Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03533 | Date 13/02/2019 |
| Token No | SM/19-20/8112 07/08/2019 | Serial | 055 Last Visit: 09/05/2025 |
| Patient Name | Mrs. KANIKA CHATTERJEE | Contact No | 9800900862 |
| Address | 25 CHATRA GODER BAGAN,BAIDYABATI(M) | Age | 49 Years,7 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||