Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07164 | Date 16/12/2019 |
| Token No | SM/21-22/2186 12/06/2021 | Serial | 008 Last Visit: 28/02/2024 |
| Patient Name | Mrs. NILIMA MUKHERJEE | Contact No | 8017039919 |
| Address | 118 RAMKRISHNA BYE LANE,BAIDYABATI(M) | Age | 48 Years,1 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||