Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01666 | Date 13/10/2018 |
| Token No | SM/22-23/19003 19/12/2022 | Serial | 017 Last Visit: 24/01/2024 |
| Patient Name | Mrs. JHARNA SOM | Contact No | 9830679114 |
| Address | 19/A BARUIPARA LANE CHATRA SERAMPORE | Age | 37 Years,0 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||