Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00280 | Date 09/08/2018 |
| Token No | SM/21-22/5008 11/09/2021 | Serial | 037 Last Visit: 04/12/2025 |
| Patient Name | Mrs. KRISHNA DUTTA | Contact No | 7044158205 |
| Address | 35, CHATRA DUTTA PARA,SERAMPORE | Age | 40 Years,11 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||