Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01197 | Date 18/09/2018 |
| Token No | SM/19-20/19673 14/03/2020 | Serial | 076 Last Visit: 29/10/2021 |
| Patient Name | Mrs. SADHANA KUNDU | Contact No | 9836426280 |
| Address | 76, A.P GHOSH ROAD | Age | 69 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||