Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03335 | Date 04/02/2019 |
| Token No | SM/22-23/12757 23/05/2022 | Serial | 005 Last Visit: 05/07/2023 |
| Patient Name | Mrs. SURAMA DUTTA | Contact No | 9748050475 |
| Address | 39 CHATRA DUTTA PARA | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 161 cm BMI: 23.147255 |
| Diagnosis | |||