Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07281 | Date 06/01/2020 |
| Token No | SM/21-22/2558 25/06/2021 | Serial | 025 Last Visit: 15/02/2024 |
| Patient Name | Mrs. DIPALI RAY | Contact No | 26629474 |
| Address | GHORAMARA , MALLICKPARA, HOOGHLY | Age | 45 Years,1 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||