Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14712 | Date 27/12/2024 |
| Token No | SM/24-25/41026 27/12/2024 | Serial | 017 Last Visit: 27/12/2024 |
| Patient Name | Mrs. MOUSUMI SADHUKHAN | Contact No | 9073424716 |
| Address | 41(23) NONADANGA ROAD BAIDYABATI (M) | Age | 44 Years,6 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||