Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10419 | Date 14/12/2021 |
| Token No | SM/22-23/19755 16/01/2023 | Serial | 023 Last Visit: 24/01/2023 |
| Patient Name | Mrs. RANU CHATTERJEE | Contact No | 6289365553 |
| Address | 54 / A DHARMATALA LANE SERAMPORE | Age | 78 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||