Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12470 | Date 14/09/2023 |
| Token No | SM/22-23/24400 14/09/2023 | Serial | 001 Last Visit: 30/07/2025 |
| Patient Name | Mrs. RITTIKA SOM | Contact No | 9088381373 |
| Address | 17/D DUTTA PARA LANE | Age | 30 Years,8 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||