Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02935 | Date 10/01/2019 |
| Token No | SM/18-19/6582 10/01/2019 | Serial | 009 Last Visit: 18/01/2023 |
| Patient Name | Mrs. PRATIMA DUTTA | Contact No | 9653488691 |
| Address | 33/1 DUTTA PARA LANE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||