Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07381 | Date 21/01/2020 |
| Token No | SM/21-22/3658 02/08/2021 | Serial | 004 Last Visit: 14/11/2025 |
| Patient Name | Mrs. NAMITA SINGHA | Contact No | 6289872283 |
| Address | 18 1/B BORO BAGAN ,SHIBTALA | Age | 65 Years,10 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||