Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11408 | Date 08/08/2022 |
| Token No | SM/22-23/15530 08/08/2022 | Serial | 015 Last Visit: 21/11/2025 |
| Patient Name | Mrs. TAPASI BISWAS | Contact No | 7501577601 |
| Address | 19 M.A.K. DUTTA SARANI,CHATRA BAZAR ROAD | Age | 37 Years,10 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||