Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03195 | Date 25/01/2019 |
| Token No | SM/25-26/2175 05/06/2025 | Serial | 036 Last Visit: 05/06/2025 |
| Patient Name | Mrs. ANJALI DUTTA | Contact No | 9007382703 |
| Address | 17B CHATRA CHAPA TALA LANE | Age | 30 Years,5 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||