Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01315 | Date 24/09/2018 |
| Token No | SM/25-26/14432 27/08/2026 at 11:06 | Serial | 050 Last Visit: 27/08/2026 |
| Patient Name | Mrs. NILIMA GHOSAL | Contact No | 9477969356 |
| Address | 14, PANCHANAN TALA | Age | 60 Years,7 Months,24 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||