Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 01380 | Date 27/09/2018 |
| Token No | SM/21-22/1935 04/06/2021 | Serial | 030 Last Visit: 01/11/2025 |
| Patient Name | Mrs. CHANDANA SENAPTI | Contact No | 9143555982 |
| Address | CHATRA MUKHERJEE PARA | Age | 58 Years,10 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||