Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08389 | Date 19/06/2020 |
| Token No | SM/19-20/23436 26/06/2020 | Serial | 011 Last Visit: 10/02/2022 |
| Patient Name | Mrs. MANISHA CHOWDHURY | Contact No | 9123936388 |
| Address | 10 M.G ROAD SERAMPORE | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||