Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01420 | Date 29/09/2018 |
| Token No | SM/18-19/10809 19/03/2019 | Serial | 002 Last Visit: 06/02/2024 |
| Patient Name | Mrs. RITA DUTTA | Contact No | 9088740937 |
| Address | 79, CHATRA SHITLATALA, BAIDYABATI(M) | Age | 41 Years,1 Months,5 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||