Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05531 | Date 22/06/2019 |
| Token No | SM/19-20/12417 25/10/2019 | Serial | 033 Last Visit: 07/12/2024 |
| Patient Name | Mrs. NARAYANI BAG | Contact No | 9038387091 |
| Address | 11/A DUTTAS LANE | Age | 65 Years,11 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||