Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13940 | Date 26/06/2024 |
| Token No | SM/24-25/34148 26/06/2024 | Serial | 073 Last Visit: 31/07/2024 |
| Patient Name | Mrs. MAYA DAS | Contact No | |
| Address | 136 A P GHOSH ROAD SERAMPORE | Age | 62 Years,6 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||