Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09428 | Date 05/04/2021 |
| Token No | SM/21-22/8565 06/01/2022 | Serial | 016 Last Visit: 23/09/2025 |
| Patient Name | Mrs. NILA MAZUMDER | Contact No | 7439232755 |
| Address | 217/326,G.T ROAD BAIDHYABATI | Age | 58 Years,8 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||