Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09185 | Date 18/01/2021 |
| Token No | SM/20-21/29473 18/01/2021 | Serial | 024 Last Visit: 06/03/2024 |
| Patient Name | Mrs. SUTAPA GHOSH PAL | Contact No | 9051452727 |
| Address | CHANDAN PAL, G T ROAD WEST SERAMPORE HOOGHLY | Age | 37 Years,2 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||