Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08519 | Date 09/07/2020 |
| Token No | SM/19-20/23954 09/07/2020 | Serial | 045 Last Visit: 18/10/2023 |
| Patient Name | Mrs. CHITRA DEY | Contact No | 9836659328 |
| Address | 63 DHARMATALA LANE CHATRA SERAMPORE | Age | 45 Years,9 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||