Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06789 | Date 05/11/2019 |
| Token No | SM/19-20/17277 27/01/2020 | Serial | 072 Last Visit: 17/04/2023 |
| Patient Name | Mrs. ARATI DUTTA | Contact No | 8276827816 |
| Address | G.T ROAD BOWBAZAR , BAIDYABATI(M) | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||