Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09767 | Date 29/06/2021 |
| Token No | SM/21-22/2677 29/06/2021 | Serial | 018 Last Visit: 29/01/2024 |
| Patient Name | Mrs. PAMPA MALIK | Contact No | 9073594835 |
| Address | 37/B BARA BAGAN LANE SERAMPORE | Age | 35 Years,6 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||