Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03884 | Date 26/02/2019 |
| Token No | SM/22-23/26665 01/12/2023 | Serial | 034 Last Visit: 23/05/2025 |
| Patient Name | Mrs. JHARNA BANERJEE | Contact No | 9804216595 |
| Address | CHATRA A.P GHOSH ROAD | Age | 54 Years,4 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||