Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 10349 | Date 27/11/2021 |
| Token No | SM/21-22/7266 27/11/2021 | Serial | 042 Last Visit: 27/11/2021 |
| Patient Name | Miss GUDDY KUMARI | Contact No | 9875304652 |
| Address | MAHESH, SERAMPORE | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||