Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12120 | Date 01/06/2023 |
| Token No | SM/22-23/21922 01/06/2023 | Serial | 011 Last Visit: 01/06/2023 |
| Patient Name | Mrs. RASHMI SHAW | Contact No | 9333716668 |
| Address | 13 DR P N MUKHERJEE STREET SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||