Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 12652 | Date 19/10/2023 |
| Token No | SM/22-23/27811 04/01/2024 | Serial | 024 Last Visit: 28/11/2025 |
| Patient Name | Mrs. SUSMITA DUTTA | Contact No | 9088551918 |
| Address | MUSALMAN PARA NO 1 | Age | 59 Years,6 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||