Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03876 | Date 26/02/2019 |
| Token No | SM/21-22/1353 12/05/2021 | Serial | 026 Last Visit: 14/11/2024 |
| Patient Name | Mrs. RITA BANERJEE | Contact No | 9007979483 |
| Address | 24,BAZAR ROAD CHATRA SERAMPORE | Age | 64 Years,10 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||