Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08411 | Date 24/06/2020 |
| Token No | SM/21-22/7084 24/11/2021 | Serial | 001 Last Visit: 25/09/2025 |
| Patient Name | Mrs. LAKSHMI RANI GUHA | Contact No | 9230153512 |
| Address | 30 DR. G. C. GOSWAMI STREET | Age | 60 Years,8 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||