Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07066 | Date 04/12/2019 |
| Token No | SM/19-20/14630 04/12/2019 | Serial | 016 Last Visit: 27/08/2022 |
| Patient Name | Mrs. JAMUNA PATRA | Contact No | 9804410485 |
| Address | PAHALAMPUR, HOOGHLY | Age | 46 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||