Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06487 | Date 20/09/2019 |
| Token No | SM/25-26/4456 02/08/2025 | Serial | 049 Last Visit: 02/08/2025 |
| Patient Name | Mrs. ANNAPURNA DUTTA | Contact No | 7595885312 |
| Address | 55 CHATRA BARUI PARA SERAMPORE | Age | 72 Years,7 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||