Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08930 | Date 04/11/2020 |
| Token No | SM/20-21/27127 04/11/2020 | Serial | 024 Last Visit: 10/10/2025 |
| Patient Name | Mrs. SANDHYA JANA | Contact No | 9831074279 |
| Address | 8 HARIMOHAN GOSWAMI STREET | Age | 49 Years,3 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||