Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01153 | Date 15/09/2018 |
| Token No | SM/18-19/5563 21/12/2018 | Serial | 013 Last Visit: 01/02/2025 |
| Patient Name | Mrs. MOUMITA DAS | Contact No | 9883119984 |
| Address | 63, A.P GHOSH ROAD SERAMPORE | Age | 44 Years,1 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||