Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00650 | Date 23/08/2018 |
| Token No | SM/19-20/1279 20/04/2019 | Serial | 100 Last Visit: 20/01/2023 |
| Patient Name | Mrs. GAETRI DUTTA | Contact No | 9088247566 |
| Address | 1 DUTTOS LANE CHATRA SERAMPORE | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||