Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12303 | Date 01/08/2023 |
| Token No | SM/25-26/5515 01/09/2025 | Serial | 007 Last Visit: 29/11/2025 |
| Patient Name | Miss AISHWARYA BHATTACHARYA | Contact No | 9339114313 |
| Address | 47/B HARIRAJ VILLA, KUMIR JALA ROAD | Age | 24 Years,2 Months,16 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 52.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||