Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11743 | Date 05/12/2022 |
| Token No | SM/22-23/21856 26/05/2023 | Serial | 019 Last Visit: 16/08/2024 |
| Patient Name | Mrs. CHABI KARMAKAR | Contact No | 9830108399 |
| Address | 9/E DHARMOTALA BYE LANE CHATRA SERAMPORE | Age | 55 Years,7 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/79 mmHg | Weight | 35.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||