Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08553 | Date 17/07/2020 |
| Token No | SM/19-20/24190 17/07/2020 | Serial | 041 Last Visit: 13/11/2024 |
| Patient Name | Mrs. DOLI DAS | Contact No | |
| Address | 29 DHARMATALA LANE CHATRA SERAMPORE | Age | 50 Years,10 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||