Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06966 | Date 23/11/2019 |
| Token No | SM/21-22/9278 24/01/2022 | Serial | 026 Last Visit: 24/01/2022 |
| Patient Name | Mrs. SIKHA MONDAL | Contact No | 8820990832 |
| Address | 12/B MUKHERJEE PARA CHATRA , BAIDYABATI(M) | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||