Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00860 | Date 31/08/2018 |
| Token No | SM/20-21/26759 16/10/2020 | Serial | 036 Last Visit: 12/06/2021 |
| Patient Name | Mrs. BANI PAL | Contact No | 26527263 |
| Address | 29/B DR.P N MUKHARJEE STREET | Age | 73.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||