Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08542 | Date 14/07/2020 |
| Token No | SM/20-21/28836 28/12/2020 | Serial | 048 Last Visit: 24/09/2022 |
| Patient Name | Mrs. SWAPNA DATTA | Contact No | 9830646328 |
| Address | 67/B CHATRA BARUIPARA LANE SERAMPORE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||