Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13606 | Date 27/04/2024 |
| Token No | SM/24-25/31839 27/04/2024 | Serial | 022 Last Visit: 27/04/2024 |
| Patient Name | Mrs. PRAGATI MAJUMDAR | Contact No | 9330973100 |
| Address | 6/1 P N CHAKRABORTY LANE SERAMPORE CHATRA | Age | 33 Years,3 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||