Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01411 | Date 29/09/2018 |
| Token No | SM/21-22/1118 04/05/2021 | Serial | 011 Last Visit: 20/08/2025 |
| Patient Name | Mrs. BABY SRIMANI | Contact No | 9830305569 |
| Address | 2/B/B A K C BHATTACHARYA STREET | Age | 62 Years,7 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||