Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05245 | Date 27/05/2019 |
| Token No | SM/20-21/26368 06/10/2020 | Serial | 023 Last Visit: 21/11/2025 |
| Patient Name | Mrs. JHUNU DAS | Contact No | 7595844842 |
| Address | CHATRA TETULTALA TELI PARA , BAIDYABATI(M) | Age | 59 Years,10 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||