Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10562 | Date 14/01/2022 |
| Token No | SM/21-22/9257 24/01/2022 | Serial | 005 Last Visit: 13/09/2025 |
| Patient Name | Mrs. ANGUR BALA SADHUKHAN | Contact No | 9681065397 |
| Address | 3,DHARMATALA LANE CHATRA SERAMPORE | Age | 84 Years,6 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||