Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07516 | Date 12/02/2020 |
| Token No | SM/19-20/17922 12/02/2020 | Serial | 032 Last Visit: 17/10/2024 |
| Patient Name | Miss JOLI SINGHA | Contact No | 9836586751 |
| Address | 18/2/A BARABAGAN LANE SERAMPORE | Age | 27 Years,9 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||