Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09293 | Date 06/03/2021 |
| Token No | SM/22-23/16126 29/08/2022 | Serial | 041 Last Visit: 14/07/2025 |
| Patient Name | Mrs. JHARNA BANIK | Contact No | 9903160522 |
| Address | 230/2 G T ROAD SHEORAPHULI, BAIDYABATI(M) | Age | 44 Years,6 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||