Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01563 | Date 06/10/2018 |
| Token No | SM/19-20/23808 06/07/2020 | Serial | 050 Last Visit: 24/03/2023 |
| Patient Name | Mrs. OINDRILA GOSWAMI | Contact No | 6290928095 |
| Address | 19, BHADURI PARA LANE CHATRA SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||