Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07088 | Date 06/12/2019 |
| Token No | SM/22-23/30533 20/03/2024 | Serial | 017 Last Visit: 20/03/2024 |
| Patient Name | Mrs. LEENA PARUI | Contact No | 9038908858 |
| Address | 14B DUTTAS LANE CHATRA SERAMPORE | Age | 63 Years,2 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||