Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00584 | Date 20/08/2018 |
| Token No | SM/21-22/5982 18/10/2021 | Serial | 018 Last Visit: 28/08/2023 |
| Patient Name | Mrs. MADHABI BAG | Contact No | 9163331232 |
| Address | 13/B CHOWDHURY PARA LANE SERAMPORE | Age | 37 Years,7 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||