Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04700 | Date 13/04/2019 |
| Token No | SM/19-20/3096 21/05/2019 | Serial | 044 Last Visit: 02/04/2025 |
| Patient Name | Mrs. ALPANA DAS KARMOKAR | Contact No | 9748508244 |
| Address | 64 BARO BAGAN SERAMPORE | Age | 50 Years,3 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||