Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01625 | Date 11/10/2018 |
| Token No | SM/21-22/10437 03/03/2022 | Serial | 036 Last Visit: 16/05/2025 |
| Patient Name | Mrs. TRIPTI KARMAKAR | Contact No | 8478010743 |
| Address | 29 RAJA K L GOSWAMI STREET | Age | 42 Years,4 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||