Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01563 | Date 06/10/2018 |
| Token No | SM/18-19/3969 20/11/2018 | Serial | 047 Last Visit: 24/03/2023 |
| Patient Name | Mrs. OINDRILA GOSWAMI | Contact No | 6290928095 |
| Address | 19, BHADURI PARA LANE CHATRA SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||