Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 07352 | Date 16/01/2020 |
| Token No | SM/25-26/1951 29/05/2025 | Serial | 026 Last Visit: 29/05/2025 |
| Patient Name | Mrs. RINKU DAS | Contact No | 9830980995 |
| Address | 97/199 RADHAGOBINDA COLONY,BAIDYABATI(M) | Age | 32 Years,4 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||