Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02320 | Date 04/12/2018 |
| Token No | SM/18-19/4628 04/12/2018 | Serial | 014 Last Visit: 16/10/2025 |
| Patient Name | Mrs. KARABI DUTTA | Contact No | 9874791033 |
| Address | 39 CHATRA DUTTA PARA LANE SERAMPORE | Age | 55 Years,7 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||