Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02096 | Date 22/11/2018 |
| Token No | SM/18-19/4161 26/11/2018 | Serial | 034 Last Visit: 09/12/2024 |
| Patient Name | Mrs. SANDHYA BANERJEE | Contact No | 8100297683 |
| Address | CHATRA BAZAR ROAD SERAMPORE | Age | 70 Years,11 Months,7 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||