Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11559 | Date 12/09/2022 |
| Token No | SM/22-23/16621 12/09/2022 | Serial | 018 Last Visit: 25/01/2025 |
| Patient Name | Mrs. JHARNA LAHA | Contact No | 9330021570 |
| Address | 26 BARUI PARA LANE SERAMPORE | Age | 67 Years,0 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||