Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00362 | Date 11/08/2018 |
| Token No | SM/21-22/1965 07/06/2021 | Serial | 004 Last Visit: 08/03/2025 |
| Patient Name | Mrs. ANITA DAS | Contact No | 8420496322 |
| Address | 209/H CHATRA TELI PARA BAGER BAGAN SERAMPORE | Age | 54 Years,2 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||