Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04697 | Date 13/04/2019 |
| Token No | SM/20-21/31302 30/03/2021 | Serial | 029 Last Visit: 13/12/2025 |
| Patient Name | Mrs. MAHAMAYA BELEL | Contact No | 9674676972 |
| Address | 25 KC MUKHERJEE STREET, BAIDYABATI(M) | Age | 47 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||