Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06634 | Date 14/10/2019 |
| Token No | SM/19-20/19606 14/03/2020 | Serial | 009 Last Visit: 11/08/2022 |
| Patient Name | Mrs. BHARATI LAHIRI | Contact No | 8697928095 |
| Address | 8 D N MUKHERJEE ROAD,BAIDYABATI(M) | Age | 75 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||