Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07576 | Date 18/02/2020 |
| Token No | SM/19-20/18330 18/02/2020 | Serial | 065 Last Visit: 30/07/2024 |
| Patient Name | Mrs. SHIPRA CHAKRABORTY | Contact No | 8420030176 |
| Address | 165/1 MUKHERJEEPARA CHATRA BAIDYABATI(M) | Age | 55 Years,9 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||