Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05256 | Date 27/05/2019 |
| Token No | SM/21-22/5671 01/10/2021 | Serial | 028 Last Visit: 07/04/2025 |
| Patient Name | Mrs. MINA DAS | Contact No | 9674111566 |
| Address | CHATRA SACHTASHI PARA , BAIDYABATI(M) | Age | 42 Years,3 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||