Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03145 | Date 22/01/2019 |
| Token No | SM/18-19/7297 22/01/2019 | Serial | 068 Last Visit: 03/12/2024 |
| Patient Name | Mrs. TAPASI GARAI | Contact No | 7686929344 |
| Address | 50/1 CHATRA DHARMA TALA LANE, SERAMPORE | Age | 48 Years,11 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||