Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09897 | Date 31/07/2021 |
| Token No | SM/21-22/3654 31/07/2021 | Serial | 016 Last Visit: 01/07/2024 |
| Patient Name | Mrs. PRITIKANA DUTTA | Contact No | 9830802791 |
| Address | 67/E CHATRA BARUIPARA LANE SERAMPORE | Age | 36 Years,6 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||