Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00295 | Date 10/08/2018 |
| Token No | SM/19-20/12341 24/10/2019 | Serial | 016 Last Visit: 18/04/2022 |
| Patient Name | Mrs. SUNITA DAS | Contact No | 9007680589 |
| Address | 14, SIDESWARI LANE SERAMPORE | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||