Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09192 | Date 19/01/2021 |
| Token No | SM/20-21/29924 30/01/2021 | Serial | 009 Last Visit: 10/07/2024 |
| Patient Name | Mrs. BHARATI DATTA | Contact No | 9748513935 |
| Address | 93/A BARUIPARA LANE CHATRA SERAMPORE | Age | 75 Years,8 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||