Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10166 | Date 01/10/2021 |
| Token No | SM/21-22/5667 01/10/2021 | Serial | 024 Last Visit: 01/10/2021 |
| Patient Name | Mrs. TANUSREE DAS | Contact No | 8276823057 |
| Address | GANGA APARTMENT SERAMPORE | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||