Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09312 | Date 12/03/2021 |
| Token No | SM/20-21/30643 12/03/2021 | Serial | 037 Last Visit: 01/04/2024 |
| Patient Name | Mrs. MUNNI DEVI SHAW | Contact No | 8420771031 |
| Address | 14/A PANCHU GOPAL BHADURI SARANI SERAMPORE | Age | 57 Years,3 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||