Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09104 | Date 28/12/2020 |
| Token No | SM/20-21/28838 28/12/2020 | Serial | 050 Last Visit: 06/03/2025 |
| Patient Name | Mrs. RAKHI KARAR | Contact No | 8017532544 |
| Address | 12 SHIBTALA BAI LANE BAIDYABATI M | Age | 35 Years,8 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||