Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00058 | Date 02/08/2018 |
| Token No | SM/18-19/58 02/08/2018 | Serial | 024 Last Visit: 27/10/2023 |
| Patient Name | Mrs. KANIKA DUTTA | Contact No | 8582848756 |
| Address | 33/2, CHATRA DUTTA PARA SERAMPORE | Age | 45 Years,9 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||