Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01992 | Date 15/11/2018 |
| Token No | SM/20-21/28705 23/12/2020 | Serial | 002 Last Visit: 17/12/2025 |
| Patient Name | Mrs. RESHMI CHAKRABORTY | Contact No | 8697602759 |
| Address | 17/A CHATRA CHOWDHURI PARA BY LANE | Age | 41 Years,3 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||