Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00796 | Date 28/08/2018 |
| Token No | SM/18-19/993 28/08/2018 | Serial | 063 Last Visit: 27/12/2023 |
| Patient Name | Mrs. SHIULI SAMANTA | Contact No | 9163942016 |
| Address | 36C, A.P. GHOSH ROAD CHATRA SERAMPORE | Age | 31 Years,11 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||