Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04787 | Date 20/04/2019 |
| Token No | SM/21-22/10468 04/03/2022 | Serial | 020 Last Visit: 02/05/2024 |
| Patient Name | Mrs. SIKHA PAL | Contact No | 9748571198 |
| Address | 15A BHADURI PARA CHATRA SERAMPORE | Age | 43 Years,4 Months,29 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||