Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04724 | Date 16/04/2019 |
| Token No | SM/19-20/983 16/04/2019 | Serial | 099 Last Visit: 21/01/2025 |
| Patient Name | Mrs. KAUSHLAYA BISWAS | Contact No | |
| Address | CHATRA LANKAR BAGAN , BAIDYABATI(M) | Age | 42 Years,0 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||