Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07708 | Date 04/03/2020 |
| Token No | SM/21-22/7476 04/12/2021 | Serial | 028 Last Visit: 23/12/2023 |
| Patient Name | Mrs. MADHUCHHANDA GHOSH | Contact No | 9830802657 |
| Address | 17(14) DAKSHIN BHATTACHRYA PARA , BAIDYABATI(M) | Age | 67 Years,11 Months,21 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||