Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08459 | Date 30/06/2020 |
| Token No | SM/22-23/16954 20/09/2022 | Serial | 048 Last Visit: 05/04/2024 |
| Patient Name | Mrs. GITA CHAKRABORTY | Contact No | 8697930015 |
| Address | 6 NO CHATRA CHOWDHURY PARA | Age | 67 Years,0 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||