Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02021 | Date 19/11/2018 |
| Token No | SM/18-19/3848 19/11/2018 | Serial | 015 Last Visit: 17/02/2024 |
| Patient Name | Mrs. PEU DUTTA | Contact No | 9051718534 |
| Address | 47B CHATRA BARUI PARA LANE, SERAMPORE | Age | 33 Years,6 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||