Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01888 | Date 05/11/2018 |
| Token No | SM/18-19/4484 01/12/2018 | Serial | 011 Last Visit: 13/06/2022 |
| Patient Name | Mrs. TUFAN DUTTA | Contact No | 7686003350 |
| Address | 28, DUTTA PARA | Age | 80 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||