Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00863 | Date 31/08/2018 |
| Token No | SM/18-19/1782 18/09/2018 | Serial | 048 Last Visit: 15/03/2023 |
| Patient Name | Mrs. IRA SHETH | Contact No | 9903447108 |
| Address | 6 DR. P N MUKHERJEE STREET | Age | 73 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||