Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07242 | Date 28/12/2019 |
| Token No | SM/19-20/22955 11/06/2020 | Serial | 005 Last Visit: 29/12/2023 |
| Patient Name | Mrs. KALPANA GHOSH | Contact No | 8013891575 |
| Address | 45 A BARA BAGAN LANE SERAMPORE MALLICK PARA | Age | 75 Years,0 Months,16 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||