Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04755 | Date 18/04/2019 |
| Token No | SM/21-22/5014 13/09/2021 | Serial | 004 Last Visit: 03/01/2022 |
| Patient Name | Mrs. ANURUPA THAKUR | Contact No | 9874137278 |
| Address | 19 P.N MUKHERJEE STREET SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||