Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05642 | Date 02/07/2019 |
| Token No | SM/21-22/4206 19/08/2021 | Serial | 012 Last Visit: 15/10/2025 |
| Patient Name | Mrs. ARCHANA CHANDA | Contact No | 9432672752 |
| Address | 7 CHOWDHURI PARA BEY LANE | Age | 63 Years,9 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||