Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08578 | Date 21/07/2020 |
| Token No | SM/20-21/27266 06/11/2020 | Serial | 054 Last Visit: 22/05/2024 |
| Patient Name | Mrs. TAPU DHAR PAL | Contact No | 8910720543 |
| Address | 33 K.M BHATTCHARJEE STREET SERAMPORE | Age | 44 Years,4 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||