Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04568 | Date 05/04/2019 |
| Token No | SM/24-25/31031 03/04/2024 | Serial | 039 Last Visit: 03/04/2024 |
| Patient Name | Mrs. KSHAMA SINHA | Contact No | 7596960996 |
| Address | 29E LAHIRI PARA LANE SERAMPORE | Age | 69 Years,3 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||