Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07079 | Date 05/12/2019 |
| Token No | SM/24-25/39095 08/11/2024 | Serial | 001 Last Visit: 29/12/2025 |
| Patient Name | Mrs. SARSWATI DAS | Contact No | 8478897209 |
| Address | 7 HARIJAN ROAD CHATRA LANKAR BAGAN , BAIDYABATI(M) | Age | 62 Years,11 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 136/78 mmHg | Weight | 54.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||