Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07436 | Date 28/01/2020 |
| Token No | SM/19-20/17348 28/01/2020 | Serial | 041 Last Visit: 24/06/2024 |
| Patient Name | Mrs. PAMPA KARMAKAR | Contact No | 8777685169 |
| Address | 67/1 G T ROAD WEST MALLICKPARA SERAMPORE | Age | 32 Years,8 Months,19 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||