Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04956 | Date 27/04/2019 |
| Token No | SM/20-21/28065 04/12/2020 | Serial | 016 Last Visit: 23/05/2024 |
| Patient Name | Mrs. SUSHMITA DUTTA | Contact No | 9830823598 |
| Address | 31/1 CHATRA DUTTA PARA , SERAMPORE | Age | 21 Years,4 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||