Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11430 | Date 13/08/2022 |
| Token No | SM/22-23/17485 20/10/2022 | Serial | 006 Last Visit: 29/11/2022 |
| Patient Name | Mrs. BHARATI DATTA | Contact No | 8240000367 |
| Address | 93/A BARUIPARA LANE CHATRA SERAMPORE | Age | 74 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||