Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01135 | Date 14/09/2018 |
| Token No | SM/18-19/1899 22/09/2018 | Serial | 012 Last Visit: 10/07/2024 |
| Patient Name | Mrs. MITA MUKHARJEE | Contact No | 9330519010 |
| Address | 37 A P GHOSH ROAD, SERAMPORE | Age | 54 Years,6 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||