Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00676 | Date 24/08/2018 |
| Token No | SM/18-19/4152 26/11/2018 | Serial | 025 Last Visit: 09/11/2024 |
| Patient Name | Mrs. KRISHNA CHAKRABORTY | Contact No | 7059705107 |
| Address | 38, A.P GHOSH ROAD | Age | 41 Years,10 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||