Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06592 | Date 01/10/2019 |
| Token No | SM/21-22/7470 04/12/2021 | Serial | 022 Last Visit: 21/04/2023 |
| Patient Name | Mrs. MOUSUMI DAS | Contact No | 9830563756 |
| Address | 244/2 RAJJODHARPUR,GOV. COLONY, SERAMPORE MALLICKPRA | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||