Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00811 | Date 29/08/2018 |
| Token No | SM/24-25/34220 28/06/2024 | Serial | 029 Last Visit: 28/06/2024 |
| Patient Name | Mrs. KUHELI MUKHERJEE PANDA | Contact No | 9433125738 |
| Address | 201, AALOK BHAVAN, CHATRA SERAMPORE | Age | 36 Years,5 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||