Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06753 | Date 24/10/2019 |
| Token No | SM/19-20/22506 28/05/2020 | Serial | 003 Last Visit: 21/09/2023 |
| Patient Name | Mrs. GITASHRI DUTTA | Contact No | 9143159385 |
| Address | 5 CHATRA GHOSH PARA BYE LANE | Age | 43 Years,8 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||