Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09310 | Date 10/03/2021 |
| Token No | SM/20-21/30606 10/03/2021 | Serial | 044 Last Visit: 22/06/2024 |
| Patient Name | Mrs. KHUKUMONI PARAMANIK | Contact No | 9831616590 |
| Address | 22/A,P.N. CHAKRABORTY LANE, SERAMPORE | Age | 40 Years,4 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||