Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02219 | Date 29/11/2018 |
| Token No | SM/21-22/7394 02/12/2021 | Serial | 006 Last Visit: 01/11/2025 |
| Patient Name | Mrs. SANDHA KUNDU | Contact No | 9007168350 |
| Address | 3/A CHATRA DUTTA PARA | Age | 69 Years,10 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||