Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07697 | Date 04/03/2020 |
| Token No | SM/19-20/19037 04/03/2020 | Serial | 011 Last Visit: 25/02/2022 |
| Patient Name | Mrs. PRATIMA SINGHA | Contact No | 7595858844 |
| Address | 18/2/A, BARA BAGAN LANE MALLICKPARA SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||