Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05710 | Date 10/07/2019 |
| Token No | SM/20-21/30126 05/02/2021 | Serial | 030 Last Visit: 09/10/2025 |
| Patient Name | Mrs. RINKI DAS | Contact No | 9088431122 |
| Address | 27 B A. P. GHOSH ROAD | Age | 40 Years,1 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||