Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10607 | Date 27/01/2022 |
| Token No | SM/22-23/12498 17/05/2022 | Serial | 008 Last Visit: 02/09/2025 |
| Patient Name | Miss SUSMITA DAS | Contact No | 9830727543 |
| Address | 9/B DHARMATALA LANE | Age | 27 Years,8 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||