Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04413 | Date 27/03/2019 |
| Token No | SM/18-19/11306 27/03/2019 | Serial | 010 Last Visit: 21/12/2022 |
| Patient Name | Mrs. SHAMPA PAL | Contact No | 9836156164 |
| Address | 3 CHATRA BARUI PARA LANE SERAMPORE | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||