Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11834 | Date 07/01/2023 |
| Token No | SM/22-23/20334 28/02/2023 | Serial | 015 Last Visit: 11/08/2023 |
| Patient Name | Mrs. BULBUL MUKHOPADHYAY | Contact No | 9830412692 |
| Address | 14 CHATRA CHOWDHURY PARA SERAMPORE | Age | 58 Years,7 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||