Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04653 | Date 09/04/2019 |
| Token No | SM/21-22/3376 22/07/2021 | Serial | 053 Last Visit: 13/09/2025 |
| Patient Name | Mrs. MINU DAS | Contact No | 9674856143 |
| Address | 8/1 HARIJAN ROAD, BAIDYABATI (M) | Age | 70 Years,1 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||