Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03377 | Date 05/02/2019 |
| Token No | SM/19-20/17435 01/02/2020 | Serial | 046 Last Visit: 18/01/2022 |
| Patient Name | Mrs. SHYAMALI DUTTA | Contact No | 8017840913 |
| Address | CHATRA SHIV TALA, | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||