Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05626 | Date 29/06/2019 |
| Token No | SM/19-20/11679 14/10/2019 | Serial | 073 Last Visit: 03/03/2023 |
| Patient Name | Mrs. SATIMA PAL | Contact No | 9748626087 |
| Address | 46 DR GC GOSWAMI STREET SERAMPORE | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||