Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03374 | Date 05/02/2019 |
| Token No | SM/18-19/8032 05/02/2019 | Serial | 023 Last Visit: 28/06/2022 |
| Patient Name | Mrs. MAYA DAS | Contact No | 9163774330 |
| Address | 51/18, SATCHASI PARA LASKAR BAGAN CHATRA SERRAMPORE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||