Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04396 | Date 26/03/2019 |
| Token No | SM/19-20/17940 12/02/2020 | Serial | 050 Last Visit: 19/02/2024 |
| Patient Name | Mrs. MANASHI DAS | Contact No | 8777767207 |
| Address | 3/A CHATRA SHITLATALA LANE , SERAMPORE (M) | Age | 58 Years,1 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||