Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08775 | Date 24/09/2020 |
| Token No | SM/20-21/25998 24/09/2020 | Serial | 028 Last Visit: 24/11/2023 |
| Patient Name | Mrs. BANDANA CHOWDHURY | Contact No | 8961938901 |
| Address | 29 CHATRA CHOWDHURY PARA BYE LANE DOLTALA SERAMPORE | Age | 59 Years,10 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||