Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07569 | Date 18/02/2020 |
| Token No | SM/19-20/22176 12/05/2020 | Serial | 030 Last Visit: 08/11/2021 |
| Patient Name | Mrs. PARBATI DUTTA | Contact No | 9836855608 |
| Address | 34 CHATRA DUTTA PARA LANE CHATRA SERAMPORE | Age | 74 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||