Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07372 | Date 20/01/2020 |
| Token No | SM/19-20/17483 03/02/2020 | Serial | 013 Last Visit: 11/01/2022 |
| Patient Name | Mrs. ANJANA DUTTA | Contact No | 9051606371 |
| Address | 11/B/2 DUTTAS LANE SERAMPORE | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||