Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11680 | Date 17/11/2022 |
| Token No | SM/25-26/4740 11/08/2025 | Serial | 015 Last Visit: 11/08/2025 |
| Patient Name | Miss RIMI DAS | Contact No | 9836289213 |
| Address | BALARAMBATI,SINGUR | Age | 23 Years,7 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||