Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01450 | Date 01/10/2018 |
| Token No | SM/18-19/7723 31/01/2019 | Serial | 097 Last Visit: 23/12/2020 |
| Patient Name | Mrs. PURNIMA DUTTA | Contact No | 9674434465 |
| Address | 80, BARUI PARA CHATRA, SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||