Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07935 | Date 26/03/2020 |
| Token No | SM/19-20/22165 12/05/2020 | Serial | 019 Last Visit: 28/06/2022 |
| Patient Name | Mrs. RINKU DUTTA | Contact No | 7686003350 |
| Address | 27/A CHATRA DUTTA PARA, | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||