Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08787 | Date 28/09/2020 |
| Token No | SM/20-21/26071 28/09/2020 | Serial | 006 Last Visit: 10/01/2024 |
| Patient Name | Mrs. SHUBHRA MUKHREE | Contact No | 9163711155 |
| Address | 45 A BARA BAGAN LANE, SERAMPORE , 712203 | Age | 57 Years,0 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||