Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09490 | Date 19/04/2021 |
| Token No | SM/21-22/1802 31/05/2021 | Serial | 011 Last Visit: 25/04/2025 |
| Patient Name | Mrs. JHARNA MITRA | Contact No | 9903931798 |
| Address | 54,MG/1,S.C CHATTERJEE SARANI SERAMPORE | Age | 68 Years,3 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||