Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05220 | Date 24/05/2019 |
| Token No | SM/21-22/10230 24/02/2022 | Serial | 033 Last Visit: 29/08/2025 |
| Patient Name | Mrs. SUMITRA GHOSH | Contact No | 9874764815 |
| Address | 43/33 SHITLATALA TALA ROAD CHATRA BAIDYABATI(M) | Age | 58 Years,7 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||