Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10181 | Date 07/10/2021 |
| Token No | SM/21-22/10066 21/02/2022 | Serial | 014 Last Visit: 19/12/2022 |
| Patient Name | Mrs. PURNIMA DAS | Contact No | 8777025595 |
| Address | MALLIKPUR,HOOGHLY, | Age | 73 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||