Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00026 | Date 01/08/2018 |
| Token No | SM/19-20/6193 10/07/2019 | Serial | 061 Last Visit: 08/01/2025 |
| Patient Name | Mrs. SULEKHA DUTTA | Contact No | 9432506746 |
| Address | 70 CHATRA BARUI PARA LANE SERAMPORE | Age | 58 Years,0 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||