Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00869 | Date 31/08/2018 |
| Token No | SM/20-21/26499 10/10/2020 | Serial | 016 Last Visit: 04/10/2024 |
| Patient Name | Mrs. BELA HAZRA | Contact No | 8697165515 |
| Address | 27A, P.N. MUKHERJEE STREET | Age | 69 Years,9 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||