Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 01162 | Date 15/09/2018 |
| Token No | SM/22-23/21975 03/06/2023 | Serial | 011 Last Visit: 12/11/2025 |
| Patient Name | Mrs. ARATI MAITY | Contact No | 8902096152 |
| Address | 15/1 CHATRA MUKHERJEE PARA , BAIDYABATI (M) | Age | 54 Years,10 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||