Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04561 | Date 05/04/2019 |
| Token No | SM/21-22/7798 15/12/2021 | Serial | 022 Last Visit: 19/07/2025 |
| Patient Name | Miss SWAGATA SETH | Contact No | 9330453562 |
| Address | GT ROAD CHATRA , BAIDYABATI(M) | Age | 27 Years,5 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||