Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01024 | Date 10/09/2018 |
| Token No | SM/21-22/6618 08/11/2021 | Serial | 013 Last Visit: 18/10/2025 |
| Patient Name | Mrs. NAMITA DAS | Contact No | 9874591412 |
| Address | 67 CHATRA DHARMATALA | Age | 74 Years,9 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||