Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03987 | Date 05/03/2019 |
| Token No | SM/19-20/22139 11/05/2020 | Serial | 047 Last Visit: 22/08/2023 |
| Patient Name | Mrs. JHARNA PATRA | Contact No | 9330750900 |
| Address | 21 M A K DUTTA SARANI, SERAMPORE | Age | 54 Years,7 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||