Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01888 | Date 05/11/2018 |
| Token No | SM/18-19/10938 20/03/2019 | Serial | 043 Last Visit: 13/06/2022 |
| Patient Name | Mrs. TUFAN DUTTA | Contact No | 7686003350 |
| Address | 28, DUTTA PARA | Age | 80 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||