Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04456 | Date 29/03/2019 |
| Token No | SM/21-22/3029 09/07/2021 | Serial | 009 Last Visit: 20/01/2023 |
| Patient Name | Mrs. KUMKUM CHAKRABORTY | Contact No | 9830199486 |
| Address | 21 CHATRA DHARMOTALA SERAMPORE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||