Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09283 | Date 05/03/2021 |
| Token No | SM/20-21/30501 08/03/2021 | Serial | 026 Last Visit: 06/12/2025 |
| Patient Name | Mrs. SHIBANI HAZRA | Contact No | 9330174956 |
| Address | 26 RARA BAGAN LANE,SEARAMPORE | Age | 42 Years,0 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||