Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01272 | Date 22/09/2018 |
| Token No | SM/25-26/7733 08/11/2025 | Serial | 015 Last Visit: 08/11/2025 |
| Patient Name | Mrs. PRIYANKA PRAMANIK | Contact No | 6290744267 |
| Address | CHATRA BAGHER BAGAN | Age | 23 Years,10 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||