Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02026 | Date 19/11/2018 |
| Token No | SM/18-19/7333 24/01/2019 | Serial | 020 Last Visit: 03/12/2025 |
| Patient Name | Mrs. SUSMITA DUTTA | Contact No | 7439237852 |
| Address | CHATRA BARUI PARA SERAMPORE | Age | 39 Years,11 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||