Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04852 | Date 23/04/2019 |
| Token No | SM/19-20/1459 23/04/2019 | Serial | 040 Last Visit: 24/03/2025 |
| Patient Name | Mrs. TINKU DUTTA | Contact No | 9883657563 |
| Address | 23 BARUI PARA LANE CHATRA SERAMPORE | Age | 46 Years,2 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||