Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00857 | Date 31/08/2018 |
| Token No | SM/19-20/9662 02/09/2019 | Serial | 057 Last Visit: 05/02/2025 |
| Patient Name | Mrs. BASANTI MANNA | Contact No | 7890749613 |
| Address | 16 CHAKRABORTY LANE | Age | 46 Years,1 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||