Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10032 | Date 02/09/2021 |
| Token No | SM/21-22/4677 02/09/2021 | Serial | 039 Last Visit: 11/01/2022 |
| Patient Name | Mrs. BISHNUPRIYA CHAUDHURI | Contact No | 8100742369 |
| Address | 21 A 1 CHATRA CHOWDHURI BYE LANE SERAMPORE | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||