Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09541 | Date 26/04/2021 |
| Token No | SM/22-23/22421 26/06/2023 | Serial | 012 Last Visit: 04/06/2025 |
| Patient Name | Mrs. MAYA SIL | Contact No | 9836802825 |
| Address | 164/A,RAMKRISHNA ROAD ,CHATRA SERAMPORE | Age | 76 Years,5 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||