Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04066 | Date 07/03/2019 |
| Token No | SM/21-22/9738 09/02/2022 | Serial | 030 Last Visit: 16/11/2024 |
| Patient Name | Mrs. MIRA RANI DUTTA | Contact No | 9143159385 |
| Address | 5 CHATRA GHOSH PARA LANE | Age | 81 Years,10 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||