Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02577 | Date 18/12/2018 |
| Token No | SM/19-20/10444 16/09/2019 | Serial | 045 Last Visit: 17/02/2025 |
| Patient Name | Mrs. DURBA CHOWDHURY | Contact No | 9903845477 |
| Address | 29/C CHATRA CHOWDHURY PARA | Age | 46 Years,1 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||