Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01505 | Date 04/10/2018 |
| Token No | SM/20-21/28315 11/12/2020 | Serial | 012 Last Visit: 28/11/2024 |
| Patient Name | Mrs. ARATI MUKHERJEE | Contact No | 7687015537 |
| Address | 16, CHATRA CHOWDHURY PARA SERAMPORE | Age | 56 Years,10 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||