Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00650 | Date 23/08/2018 |
| Token No | SM/18-19/781 23/08/2018 | Serial | 030 Last Visit: 20/01/2023 |
| Patient Name | Mrs. GAETRI DUTTA | Contact No | 9088247566 |
| Address | 1 DUTTOS LANE CHATRA SERAMPORE | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 97/54 mmHg | Weight | 62 KG |
| Pulse Rate | 132 / min | Height | cm BMI: inf |
| Diagnosis | |||