Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03664 | Date 18/02/2019 |
| Token No | SM/19-20/9732 03/09/2019 | Serial | 043 Last Visit: 22/10/2025 |
| Patient Name | Mrs. RUBY MONDAL | Contact No | 8620835892 |
| Address | 11/8 K.C MUKHERJEE STREET CHATRA , BAIDYABATI(M) | Age | 34 Years,9 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 97 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||