Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03696 | Date 19/02/2019 |
| Token No | SM/22-23/23694 21/08/2023 | Serial | 002 Last Visit: 18/09/2025 |
| Patient Name | Mrs. KRISHNA CHATTERJEE | Contact No | 8420978774 |
| Address | 31/D CHATRA DOL TALA | Age | 52 Years,8 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||