Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06213 | Date 24/08/2019 |
| Token No | SM/19-20/25475 05/09/2020 | Serial | 006 Last Visit: 08/03/2024 |
| Patient Name | Mrs. SANDHYA MONDAL | Contact No | 8334884869 |
| Address | 5/C LAHIRI PARA LANE CHATRA SERAMPORE | Age | 41 Years,2 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||