Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09030 | Date 07/12/2020 |
| Token No | SM/20-21/28355 14/12/2020 | Serial | 009 Last Visit: 24/06/2024 |
| Patient Name | Mrs. ANNAPURNA SARKAR | Contact No | 7044694718 |
| Address | 81 RAJA RAMMOHAN SARANI BAIDYABATI(M) | Age | 58 Years,5 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||