Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08285 | Date 28/05/2020 |
| Token No | SM/19-20/22528 28/05/2020 | Serial | 025 Last Visit: 16/04/2024 |
| Patient Name | Mrs. MITHU DUTTA | Contact No | 9748513935 |
| Address | 93/C CHATRA BARUI PARA SERAMPORE | Age | 40 Years,4 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||