Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05665 | Date 05/07/2019 |
| Token No | SM/20-21/30548 09/03/2021 | Serial | 023 Last Visit: 04/09/2021 |
| Patient Name | Mrs. SHIKHA BERA | Contact No | 8622830918 |
| Address | 14 CHATRA BAZAR ROAD SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||