Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00708 | Date 27/08/2018 |
| Token No | SM/19-20/18306 18/02/2020 | Serial | 041 Last Visit: 04/04/2022 |
| Patient Name | Mrs. SUMITRA SAHA | Contact No | 8017641647 |
| Address | 12 ROY GHAT LANE,SERAMPORE | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||