Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01859 | Date 02/11/2018 |
| Token No | SM/20-21/26469 08/10/2020 | Serial | 032 Last Visit: 23/07/2025 |
| Patient Name | Mrs. PADMA PANDIT | Contact No | 9088513168 |
| Address | CHATRA LANKAR BAGAN SHITLATALA, BAIDYABATI(M) | Age | 72 Years,6 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||