Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03849 | Date 25/02/2019 |
| Token No | SM/19-20/14215 28/11/2019 | Serial | 032 Last Visit: 19/11/2025 |
| Patient Name | Mrs. RINA DUTTA | Contact No | 9674941596 |
| Address | 43 A P GHOSH ROAD, CHATRA SERAMPORE , 712204 | Age | 51 Years,10 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||