Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10147 | Date 27/09/2021 |
| Token No | SM/21-22/5560 27/09/2021 | Serial | 058 Last Visit: 12/11/2021 |
| Patient Name | Mrs. MANOKA GHOSH | Contact No | 9378435495 |
| Address | CHATRA SERAPORE | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||