Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05418 | Date 13/06/2019 |
| Token No | SM/19-20/8515 16/08/2019 | Serial | 098 Last Visit: 03/12/2025 |
| Patient Name | Mrs. DIPA DUTTA | Contact No | 6289705332 |
| Address | 67/A CHATRA BARUIPARA LANE SERAMPORE | Age | 43 Years,11 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||