Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00407 | Date 13/08/2018 |
| Token No | SM/21-22/1261 10/05/2021 | Serial | 009 Last Visit: 24/09/2025 |
| Patient Name | Mrs. BIBHARANI BISWAS | Contact No | 6291782564 |
| Address | 8, CHAR MONDIR GHAT | Age | 77 Years,8 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||