Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02695 | Date 27/12/2018 |
| Token No | SM/18-19/5797 27/12/2018 | Serial | 055 Last Visit: 26/11/2024 |
| Patient Name | Mrs. LAKSHMIRANI PAL | Contact No | 9875453440 |
| Address | 11/A A. P GHOSH PARA SERAMPORE | Age | 61 Years,10 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||