Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03546 | Date 13/02/2019 |
| Token No | SM/20-21/25863 21/09/2020 | Serial | 013 Last Visit: 30/08/2024 |
| Patient Name | Mrs. SUMI MUKHERJEE | Contact No | 9836951896 |
| Address | 13 SHIDYSWARI LANE,CHATRA SERAMPORE | Age | 36 Years,7 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||