Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00740 | Date 27/08/2018 |
| Token No | SM/18-19/7365 24/01/2019 | Serial | 052 Last Visit: 31/08/2023 |
| Patient Name | Mrs. JHARNA PARUI | Contact No | 8335925922 |
| Address | 78 HARIJAN ROAD SERAMPORE | Age | 60 Years,7 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||