Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01149 | Date 14/09/2018 |
| Token No | SM/18-19/1678 14/09/2018 | Serial | 044 Last Visit: 15/05/2024 |
| Patient Name | Mrs. SNEHA RAY | Contact No | 8777597959 |
| Address | 2 P N CHAKRABORTY LANE CHATRA SERAMPORE | Age | 22 Years,2 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||