Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00055 | Date 02/08/2018 |
| Token No | SM/18-19/55 02/08/2018 | Serial | 021 Last Visit: 22/03/2023 |
| Patient Name | Mrs. MALA CHETERJEE | Contact No | 9874630828 |
| Address | 33, R.N.C LAHIRI ST. | Age | 47.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||