Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00181 | Date 07/08/2018 |
| Token No | SM/19-20/11178 26/09/2019 | Serial | 062 Last Visit: 13/06/2022 |
| Patient Name | Mrs. SABITA MONDAL | Contact No | 9564741947 |
| Address | FLAT NO 6, LAHIRI PARA, SERAMPORE | Age | 53.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||