Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00021 | Date 01/08/2018 |
| Token No | SM/24-25/38900 01/11/2024 | Serial | 027 Last Visit: 28/06/2025 |
| Patient Name | Mrs. ARATI DAS | Contact No | |
| Address | PROVASNAGAR | Age | 48 Years,5 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||