Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10767 | Date 09/03/2022 |
| Token No | SM/22-23/19548 07/01/2023 | Serial | 043 Last Visit: 01/11/2024 |
| Patient Name | Mrs. SHYAMALI MUKHERJEE | Contact No | 7595046334 |
| Address | 22A PROF. K.K. MUKHERJEE SARANI CHATRA SERAMPORE | Age | 61 Years,8 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||