Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07162 | Date 16/12/2019 |
| Token No | SM/19-20/15385 16/12/2019 | Serial | 049 Last Visit: 17/08/2024 |
| Patient Name | Mrs. ASHOKA CHAKRABORTY | Contact No | 8334942676 |
| Address | 2/A CHAMPATALA LANE CHATRA SERAMPORE | Age | 51 Years,7 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||