Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12620 | Date 13/10/2023 |
| Token No | SM/22-23/25315 13/10/2023 | Serial | 008 Last Visit: 11/06/2025 |
| Patient Name | Miss JHARNA PANDIT | Contact No | 9339665468 |
| Address | 13 ROY M C LAHIRI BHADUR STREET | Age | 41 Years,5 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||