Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14739 | Date 04/01/2025 |
| Token No | SM/24-25/41325 04/01/2025 | Serial | 033 Last Visit: 04/01/2025 |
| Patient Name | Mrs. ANIMA BANIK | Contact No | 8100520416 |
| Address | 4 D D MONDAL GHAT ROAD KAMARHATI | Age | 59 Years,7 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||