Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07150 | Date 14/12/2019 |
| Token No | SM/21-22/10228 24/02/2022 | Serial | 031 Last Visit: 29/11/2025 |
| Patient Name | Mrs. BARNALI PAL | Contact No | 8961457525 |
| Address | 74/A RAMKRISHNA ROAD CHATRA , BAIDYABATI(M) | Age | 47 Years,11 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 116/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||