Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05883 | Date 22/07/2019 |
| Token No | SM/19-20/7011 22/07/2019 | Serial | 029 Last Visit: 20/09/2023 |
| Patient Name | Mrs. RAMA BANERJEE | Contact No | 9903296339 |
| Address | 4 CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 54 Years,8 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||