Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07178 | Date 18/12/2019 |
| Token No | SM/21-22/1928 04/06/2021 | Serial | 023 Last Visit: 13/10/2025 |
| Patient Name | Mrs. RADHA RANI PANDIT | Contact No | 9330011911 |
| Address | 185 G T ROAD BAGHER BAGAN BAIDYABATI | Age | 58 Years,9 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||