Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07604 | Date 22/02/2020 |
| Token No | SM/22-23/26924 09/12/2023 | Serial | 038 Last Visit: 20/02/2024 |
| Patient Name | Mrs. SARMISTHA GHOSH | Contact No | 9143496279 |
| Address | 17(14) DAKSHIN BHATTACHARYA PARA,BAIDYABATI(M) | Age | 44 Years,1 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||