Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06372 | Date 11/09/2019 |
| Token No | SM/19-20/10145 11/09/2019 | Serial | 052 Last Visit: 14/03/2020 |
| Patient Name | Mrs. BAHBANI DUTTA | Contact No | 7044241345 |
| Address | 17/1/23 ROY M C LAHIRI BHADUR STREET SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||