Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11840 | Date 10/01/2023 |
| Token No | SM/22-23/23487 10/08/2023 | Serial | 010 Last Visit: 26/11/2025 |
| Patient Name | Mrs. CHAMPA KAR | Contact No | 9681249101 |
| Address | 7 MUKHERJEE PARA,BAIDYABATI (M) | Age | 44 Years,10 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 138/91 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||