Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07284 | Date 06/01/2020 |
| Token No | SM/21-22/10790 15/03/2022 | Serial | 010 Last Visit: 07/02/2024 |
| Patient Name | Mrs. MANIKA GHOSH | Contact No | 9804574490 |
| Address | 6/3 P.N CHAKRABORTY LANE CHATRA SERAMPORE | Age | 69 Years,1 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||