Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00839 | Date 30/08/2018 |
| Token No | SM/18-19/8936 18/02/2019 | Serial | 109 Last Visit: 04/12/2025 |
| Patient Name | Mrs. TAPATI PATRA | Contact No | 9830605457 |
| Address | 21, CHATRA BAJAR ROAD, SERAMPORE | Age | 69 Years,11 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||