Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07608 | Date 24/02/2020 |
| Token No | SM/21-22/10373 02/03/2022 | Serial | 019 Last Visit: 17/03/2022 |
| Patient Name | Mrs. SUBARNA BAG MUKHERJEE | Contact No | 6289855060 |
| Address | 13B CHOWDHURY PARA LANE CHATRA SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||