Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00868 | Date 31/08/2018 |
| Token No | SM/18-19/2855 13/10/2018 | Serial | 009 Last Visit: 02/12/2024 |
| Patient Name | Mrs. PAMPA BAG | Contact No | 9051999220 |
| Address | 11 DUTTAS LANE CHATRA SERAMPORE | Age | 53 Years,11 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||