Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05538 | Date 24/06/2019 |
| Token No | SM/19-20/23647 02/07/2020 | Serial | 056 Last Visit: 06/05/2024 |
| Patient Name | Mrs. TUTU DAS | Contact No | 9874782452 |
| Address | 70 NETAJI SUBHAS AVENUE, SERAMPORE | Age | 48 Years,4 Months,4 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||