Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02124 | Date 26/11/2018 |
| Token No | SM/21-22/6969 22/11/2021 | Serial | 009 Last Visit: 29/12/2025 |
| Patient Name | Mrs. ARATI BAGCHI | Contact No | 9836515118 |
| Address | 18 HORIMOHAN GOSWAMI STREET | Age | 67 Years,11 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||