Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14763 | Date 09/01/2025 |
| Token No | SM/24-25/42188 27/01/2025 | Serial | 061 Last Visit: 19/04/2025 |
| Patient Name | Mrs. DEBI RANI MUKHERJEE | Contact No | 9674973935 |
| Address | 9 RAJ MOHAN GOSWAMI LANE SERAMPORE | Age | 90 Years,3 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 142/83 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||