Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08085 | Date 15/04/2020 |
| Token No | SM/21-22/1229 07/05/2021 | Serial | 022 Last Visit: 11/07/2024 |
| Patient Name | Mrs. NUPUR DUTTA | Contact No | 8583924411 |
| Address | 67/A CHATRA BARUIPARA LANE | Age | 60 Years,2 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||