Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00966 | Date 06/09/2018 |
| Token No | SM/18-19/3795 16/11/2018 | Serial | 028 Last Visit: 25/06/2021 |
| Patient Name | Mrs. MINA KUNDU | Contact No | 9051787137 |
| Address | 68 CHATRA A.P GHOSH RAOD SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||