Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05513 | Date 21/06/2019 |
| Token No | SM/19-20/25215 26/08/2020 | Serial | 025 Last Visit: 02/08/2024 |
| Patient Name | Mrs. NIHARIKA GHOSH | Contact No | 9674145139 |
| Address | 147/55 CHATRA MUKHERJEE PARA HARI SABHA, BAIDYABATI(M) | Age | 59 Years,7 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||