Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03377 | Date 05/02/2019 |
| Token No | SM/21-22/9057 18/01/2022 | Serial | 014 Last Visit: 18/01/2022 |
| Patient Name | Mrs. SHYAMALI DUTTA | Contact No | 8017840913 |
| Address | CHATRA SHIV TALA, | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 17.941817 |
| Diagnosis | |||