Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00366 | Date 11/08/2018 |
| Token No | SM/21-22/10624 09/03/2022 | Serial | 008 Last Visit: 17/06/2022 |
| Patient Name | Mrs. MANJU GHOSH | Contact No | 9830769848 |
| Address | 14, DUTTAS LANE | Age | 76 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.2 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 21.562500 |
| Diagnosis | |||