Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04134 | Date 09/03/2019 |
| Token No | SM/19-20/15870 26/12/2019 | Serial | 001 Last Visit: 03/03/2025 |
| Patient Name | Mrs. SIKHA MUKHOPADHAYAY | Contact No | 9932329831 |
| Address | 5 P.N MUKHERJEE STREET MATHURA APPARTMENT FLAT NO-202 | Age | 63 Years,2 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||