Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05460 | Date 17/06/2019 |
| Token No | SM/19-20/4736 17/06/2019 | Serial | 053 Last Visit: 03/12/2024 |
| Patient Name | Mrs. SHAMPA CHATERJEE | Contact No | 9874964066 |
| Address | 32/D CHOWDHURY PARA BYE LANE SERAMPORE | Age | 36 Years,11 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||