Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01429 | Date 29/09/2018 |
| Token No | SM/22-23/23927 28/08/2023 | Serial | 022 Last Visit: 05/10/2024 |
| Patient Name | Miss DEBJANI NAG | Contact No | 8017093407 |
| Address | 54, A.P GHOSH ROAD | Age | 26 Years,6 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||