Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10652 | Date 09/02/2022 |
| Token No | SM/21-22/10563 07/03/2022 | Serial | 027 Last Visit: 23/08/2025 |
| Patient Name | Mrs. TAPASI BHUNIA | Contact No | 7044249445 |
| Address | BIJAY NAGAR BAIDYABATI SHEORAPHULI | Age | 40 Years,7 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||