Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02406 | Date 07/12/2018 |
| Token No | SM/20-21/30603 10/03/2021 | Serial | 041 Last Visit: 08/11/2025 |
| Patient Name | Mrs. TAPATI MONDAL | Contact No | 9051799705 |
| Address | 79A A.P GHOSH ROAD | Age | 54 Years,10 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||