Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10253 | Date 30/10/2021 |
| Token No | SM/21-22/6437 30/10/2021 | Serial | 006 Last Visit: 16/06/2023 |
| Patient Name | Mrs. MUNMUN DATTA | Contact No | 9748935100 |
| Address | PAHALAMPUR | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||