Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03290 | Date 01/02/2019 |
| Token No | SM/22-23/27702 30/12/2023 | Serial | 038 Last Visit: 15/10/2025 |
| Patient Name | Mrs. HAMIDA KHATUN | Contact No | 7685001718 |
| Address | G T ROAD PAMPA NAGER,CHATRA,BAIDYABATY(M) | Age | 49 Years,9 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||