Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 09596 | Date 08/05/2021 |
| Token No | SM/21-22/1310 11/05/2021 | Serial | 028 Last Visit: 07/08/2025 |
| Patient Name | Mrs. SHIBANI DAS | Contact No | 9830863143 |
| Address | MASHES ,JANNOGAR ROAD | Age | 52 Years,7 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||