Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00698 | Date 25/08/2018 |
| Token No | SM/19-20/6022 06/07/2019 | Serial | 085 Last Visit: 07/04/2021 |
| Patient Name | Mrs. KAJAL DAS | Contact No | 8420883432 |
| Address | 27/B A.P. GHOSH ROAD CHATRA SERAMPORE | Age | 45.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||