Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01349 | Date 26/09/2018 |
| Token No | SM/19-20/15403 16/12/2019 | Serial | 067 Last Visit: 08/11/2021 |
| Patient Name | Mrs. PINU PARUI | Contact No | 9051175466 |
| Address | 27/D A.P GHOSH ROAD CHATRA SERAMPORE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||