Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05026 | Date 07/05/2019 |
| Token No | SM/20-21/29202 08/01/2021 | Serial | 040 Last Visit: 30/09/2024 |
| Patient Name | Mrs. KAJAL CHAKRABORTY | Contact No | 9674998988 |
| Address | ARBINDA SARANI SERAMPORE | Age | 64 Years,8 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||