Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08895 | Date 19/10/2020 |
| Token No | SM/20-21/28586 18/12/2020 | Serial | 034 Last Visit: 03/07/2024 |
| Patient Name | Mrs. ANJU DAS | Contact No | 9748763129 |
| Address | 21/1 CHOWDHURY PARA BYE LANE CHATRA SERAMPORE | Age | 76 Years,6 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||