Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09661 | Date 29/05/2021 |
| Token No | SM/21-22/2053 09/06/2021 | Serial | 018 Last Visit: 07/08/2025 |
| Patient Name | Mrs. SUNITA BARI | Contact No | 9062358832 |
| Address | 301 CHATRA SERAMPORE | Age | 38 Years,7 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||