Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05263 | Date 28/05/2019 |
| Token No | SM/19-20/3573 28/05/2019 | Serial | 014 Last Visit: 19/10/2023 |
| Patient Name | Mrs. TANDRA CHATTERJEE | Contact No | 9674111319 |
| Address | 3/0/1SC CHATERJEE SARANI SERAMPORE | Age | 52 Years,9 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||