Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00663 | Date 24/08/2018 |
| Token No | SM/24-25/35596 31/07/2024 | Serial | 048 Last Visit: 31/07/2024 |
| Patient Name | Mrs. MADHURI BAGCHI | Contact No | |
| Address | 13, DR. P.N MUKHERJEE STREET | Age | 58 Years,6 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||