Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09573 | Date 03/05/2021 |
| Token No | SM/22-23/11796 19/04/2022 | Serial | 023 Last Visit: 20/01/2023 |
| Patient Name | Mrs. SUPARNA BOSE | Contact No | 6290051927 |
| Address | 37/1 SHIBTALA LANE SEORAPHULI,BAIDYABATI(M) | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 174/93 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||