Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05215 | Date 24/05/2019 |
| Token No | SM/19-20/15694 21/12/2019 | Serial | 002 Last Visit: 25/11/2023 |
| Patient Name | Mrs. RAMA CHAKRABORTY | Contact No | 9830704638 |
| Address | 11/D/3 DR P.N MUKHERJEE STREET SERAMPORE | Age | 73 Years,10 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||