Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02151 | Date 27/11/2018 |
| Token No | SM/18-19/4234 27/11/2018 | Serial | 026 Last Visit: 27/06/2022 |
| Patient Name | Mrs. ARPITA MITRA | Contact No | 9038541692 |
| Address | 22 MAHATMA, A.K. DUTTA SARANI CHATRA SERAMPORE | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||