Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02386 | Date 07/12/2018 |
| Token No | SM/18-19/4819 07/12/2018 | Serial | 013 Last Visit: 22/02/2024 |
| Patient Name | Mrs. SARBANI CHAKRABORTY | Contact No | 9831870021 |
| Address | 2 CHAPATALA LANE | Age | 45 Years,1 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||