Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02101 | Date 22/11/2018 |
| Token No | SM/19-20/8829 20/08/2019 | Serial | 108 Last Visit: 07/11/2025 |
| Patient Name | Mrs. SARSWATI MANNA | Contact No | 9051877429 |
| Address | N.S AVENUE | Age | 55 Years,10 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||