Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01815 | Date 01/11/2018 |
| Token No | SM/24-25/35662 02/08/2024 | Serial | 011 Last Visit: 14/11/2025 |
| Patient Name | Mrs. ANJANA PAL | Contact No | 9163679550 |
| Address | 51, CHATRA DHARMOTALA | Age | 54 Years,7 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||