Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02392 | Date 07/12/2018 |
| Token No | SM/19-20/18551 24/02/2020 | Serial | 027 Last Visit: 16/11/2021 |
| Patient Name | Mrs. PRIYA DUTTA | Contact No | 9875328084 |
| Address | 17 ROY M C LAHIRI BHADUR STREET | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||