Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06526 | Date 24/09/2019 |
| Token No | SM/19-20/13768 22/11/2019 | Serial | 017 Last Visit: 27/08/2021 |
| Patient Name | Mrs. RINKU LAHIRI | Contact No | 9748649371 |
| Address | 5 P. N. MUKHERJEE STREET SERAMPORE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||