Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00005 | Date 01/08/2018 |
| Token No | SM/21-22/6994 22/11/2021 | Serial | 034 Last Visit: 15/11/2025 |
| Patient Name | Mrs. REKHA BISWAS | Contact No | 6289178560 |
| Address | 108/2 LANKAR BAGAN CHATRA,BAIDYABATI(M) | Age | 69 Years,10 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||