Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03716 | Date 20/02/2019 |
| Token No | SM/18-19/9684 02/03/2019 | Serial | 003 Last Visit: 06/11/2024 |
| Patient Name | Mrs. MAHAMAYA SHEE | Contact No | 9830509779 |
| Address | 136 N.S AVENUE SERAMPORE | Age | 61 Years,10 Months,5 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||