Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01111 | Date 13/09/2018 |
| Token No | SM/21-22/1138 04/05/2021 | Serial | 031 Last Visit: 09/10/2025 |
| Patient Name | Mrs. TANUSHREE SAMANTA | Contact No | 9874325603 |
| Address | 65/20 D.N MUKHERJEE ROAD BAIDYABATI(M) | Age | 43 Years,9 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||