Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09569 | Date 30/04/2021 |
| Token No | SM/21-22/1777 29/05/2021 | Serial | 016 Last Visit: 15/01/2024 |
| Patient Name | Mrs. PRIYANKA DUTTA | Contact No | |
| Address | CHOWDHURY PARA SERAMPORE | Age | 17 Years,0 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||