Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00173 | Date 06/08/2018 |
| Token No | SM/18-19/7175 21/01/2019 | Serial | 043 Last Visit: 01/12/2025 |
| Patient Name | Mrs. ALOKA GHOSH | Contact No | 9051714979 |
| Address | 31A/1 CHOWDHURY PARA /LANE | Age | 74 Years,11 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||