Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06371 | Date 11/09/2019 |
| Token No | SM/22-23/21187 18/04/2023 | Serial | 014 Last Visit: 13/09/2024 |
| Patient Name | Mrs. JAYANTI BHATTACHARJEE | Contact No | 9163880879 |
| Address | 13 A.P GHOSH ROAD SERAMPORE | Age | 57 Years,8 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||