Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11895 | Date 28/01/2023 |
| Token No | SM/22-23/20089 28/01/2023 | Serial | 037 Last Visit: 28/01/2023 |
| Patient Name | Mrs. KALPANA CHATTERJEE | Contact No | 8167269783 |
| Address | 89 HIREN NAG SARANI | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||