Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06797 | Date 05/11/2019 |
| Token No | SM/19-20/13659 20/11/2019 | Serial | 068 Last Visit: 07/02/2024 |
| Patient Name | Mrs. JAYANTI CHAKRABORTY | Contact No | 9331631268 |
| Address | 11/E DR P.N MUKHERJEE STREET SERAMPORE | Age | 43 Years,1 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||