Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00857 | Date 31/08/2018 |
| Token No | SM/20-21/27123 04/11/2020 | Serial | 020 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 | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||