Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00366 | Date 11/08/2018 |
| Token No | SM/21-22/2798 03/07/2021 | Serial | 013 Last Visit: 17/06/2022 |
| Patient Name | Mrs. MANJU GHOSH | Contact No | 9830769848 |
| Address | 14, DUTTAS LANE | Age | 76 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||