Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01700 | Date 27/10/2018 |
| Token No | SM/21-22/10249 25/02/2022 | Serial | 005 Last Visit: 14/03/2024 |
| Patient Name | Mrs. RAMA BALA MITRO | Contact No | 9433310579 |
| Address | 22 A K DUTTA SARANI CHATRA BAZAR ROAD, SERAMPORE | Age | 76 Years,2 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||