Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09489 | Date 19/04/2021 |
| Token No | SM/21-22/570 19/04/2021 | Serial | 037 Last Visit: 28/08/2025 |
| Patient Name | Mrs. BARNALI DAS | Contact No | 6291458032 |
| Address | 43/1 SATCHASHI PARA BAIDHYABATI | Age | 39 Years,7 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||