Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12114 | Date 24/05/2023 |
| Token No | SM/22-23/21837 24/05/2023 | Serial | 024 Last Visit: 24/05/2023 |
| Patient Name | Mrs. SANGITA DUTTA | Contact No | 9674143550 |
| Address | 52/B CHATRA BARUI PARA LANE SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 84.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||