Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04405 | Date 26/03/2019 |
| Token No | SM/18-19/11291 26/03/2019 | Serial | 084 Last Visit: 24/09/2024 |
| Patient Name | Mrs. REBA MUKHERJEE | Contact No | 9830347871 |
| Address | 4NO CHATRA CHOWDHURY PARA LANE | Age | 76 Years,2 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||