Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00379 | Date 13/08/2018 |
| Token No | SM/19-20/13884 23/11/2019 | Serial | 079 Last Visit: 14/12/2023 |
| Patient Name | Mrs. MADHUMITA BANERJEE | Contact No | 9051253102 |
| Address | 45/A, DUTTA PARA LANE, CHATRA | Age | 53 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||