Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12095 | Date 16/05/2023 |
| Token No | SM/22-23/21671 16/05/2023 | Serial | 018 Last Visit: 27/04/2024 |
| Patient Name | Miss SAHELI BANERJEE | Contact No | 7439428015 |
| Address | 19/A A P GHOSH ROAD CHATRA SERAMPORE | Age | 18 Years,6 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||