Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07167 | Date 16/12/2019 |
| Token No | SM/19-20/15781 23/12/2019 | Serial | 031 Last Visit: 10/10/2023 |
| Patient Name | Mrs. RINKU GUIN | Contact No | 9830849558 |
| Address | 90/3 CHATRA BARUI PARA SERAMPORE | Age | 45 Years,5 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||