Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00797 | Date 28/08/2018 |
| Token No | SM/18-19/994 28/08/2018 | Serial | 064 Last Visit: 10/06/2023 |
| Patient Name | Mrs. MOUSUMI DUTTA | Contact No | 9239542350 |
| Address | 131/B, BARUIPARA LANE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||