Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00814 | Date 29/08/2018 |
| Token No | SM/21-22/8990 17/01/2022 | Serial | 006 Last Visit: 28/01/2022 |
| Patient Name | Mrs. JHUMA DUTTA | Contact No | 8583026139 |
| Address | DR. P N MUKHARJEE STREET | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||