Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06704 | Date 21/10/2019 |
| Token No | SM/19-20/12125 21/10/2019 | Serial | 022 Last Visit: 23/07/2021 |
| Patient Name | Mrs. SUBHARA GUIN | Contact No | 8582856705 |
| Address | 90/A/2 CHATRA BARUI PARA LANE SERAMPORE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 51.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||