Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03626 | Date 18/02/2019 |
| Token No | SM/22-23/16772 15/09/2022 | Serial | 044 Last Visit: 06/12/2025 |
| Patient Name | Mrs. MINATI DUTTA | Contact No | 9830323667 |
| Address | 34A CHATRA SHITLATALA TALA ROAD , BAIDYABATI (M) | Age | 49 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||