Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10402 | Date 10/12/2021 |
| Token No | SM/21-22/7656 10/12/2021 | Serial | 019 Last Visit: 27/11/2025 |
| Patient Name | Mrs. LAXMI PRAMANIK | Contact No | 7003504388 |
| Address | BAGER BAGAN, BAIDYABATI(M) | Age | 47 Years,10 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||