Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13699 | Date 17/05/2024 |
| Token No | SM/24-25/32622 17/05/2024 | Serial | 022 Last Visit: 25/06/2024 |
| Patient Name | Miss JHUNU SADHUKHAN | Contact No | |
| Address | 3, DHARMATALA LANE, SERAMPORE, HOOGHLY | Age | 41 Years,3 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||