Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06047 | Date 05/08/2019 |
| Token No | SM/19-20/13211 14/11/2019 | Serial | 038 Last Visit: 21/04/2022 |
| Patient Name | Mrs. DIPTI DAS | Contact No | 8017893407 |
| Address | 3 CHATRA DHARMOTALA SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||