Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03984 | Date 02/03/2019 |
| Token No | SM/21-22/2720 30/06/2021 | Serial | 026 Last Visit: 29/01/2025 |
| Patient Name | Miss ARATI DAS | Contact No | 7449603506 |
| Address | 37/A CHATRA DHARMOTALA LANE, SERAMPORE | Age | 19 Years,2 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||