Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05596 | Date 27/06/2019 |
| Token No | SM/19-20/5462 27/06/2019 | Serial | 045 Last Visit: 11/01/2022 |
| Patient Name | Miss AYANTIKA LAHA | Contact No | 9007590026 |
| Address | 29A BARUIPARA LANE SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||