Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00432 | Date 14/08/2018 |
| Token No | SM/18-19/2157 27/09/2018 | Serial | 038 Last Visit: 08/12/2025 |
| Patient Name | Mrs. CHHAYA DUTTA | Contact No | 8013361718 |
| Address | 16, DUTTA LANE | Age | 50 Years,11 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 124/51 mmHg | Weight | 32 KG |
| Pulse Rate | 75 / min | Height | cm BMI: inf |
| Diagnosis | |||