Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16276 | Date 15/11/2025 |
| Token No | SM/25-26/8014 15/11/2025 | Serial | 021 Last Visit: 06/12/2025 |
| Patient Name | Mrs. RINA BHATTACHERJEE | Contact No | 8017697059 |
| Address | 56/D SATCHASI PARA BAIDYABATI (M) | Age | 25 Years,3 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||