Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04215 | Date 15/03/2019 |
| Token No | SM/22-23/13517 13/06/2022 | Serial | 050 Last Visit: 24/12/2024 |
| Patient Name | Mrs. SHUKLA DAS | Contact No | 7449603506 |
| Address | 37/A CHATRA DHARMOTALA LANE, SERAMPORE | Age | 45 Years,11 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||