Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00672 | Date 24/08/2018 |
| Token No | SM/19-20/3923 03/06/2019 | Serial | 046 Last Visit: 20/09/2019 |
| Patient Name | Mrs. SIKHA DAS | Contact No | 8100219952 |
| Address | 6/A P N MUKHARJEE STREET CHATRA SERAMPORE | Age | 58.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||