Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02787 | Date 02/01/2019 |
| Token No | SM/19-20/17998 13/02/2020 | Serial | 017 Last Visit: 26/10/2021 |
| Patient Name | Mrs. RUMA ROY | Contact No | 9830769848 |
| Address | 14 DUTTAS LANE CHATRA SERAMPORE | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||