Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01303 | Date 24/09/2018 |
| Token No | SM/22-23/17705 07/11/2022 | Serial | 007 Last Visit: 23/04/2024 |
| Patient Name | Mrs. SANDHYA PAKRHE | Contact No | |
| Address | DAKSHIN BHATTCHARJEE PARA BAIDYABATI (M) | Age | 53 Years,3 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||