Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07795 | Date 14/03/2020 |
| Token No | SM/21-22/3468 24/07/2021 | Serial | 016 Last Visit: 29/10/2025 |
| Patient Name | Miss SNIGDHA SAHA | Contact No | 9088649478 |
| Address | 68/1 GURUDAS BHATTACHARJEE LANE , BAIDYABATI (M) | Age | 18 Years,5 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||