Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00159 | Date 06/08/2018 |
| Token No | SM/20-21/27030 02/11/2020 | Serial | 025 Last Visit: 30/05/2024 |
| Patient Name | Mrs. MADHURI ROY | Contact No | 7890914797 |
| Address | 7 LEHIRI PARA CHATRA SERAMPORE | Age | 31 Years,4 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||