Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06870 | Date 15/11/2019 |
| Token No | SM/19-20/13293 15/11/2019 | Serial | 026 Last Visit: 06/12/2024 |
| Patient Name | Mrs. SANDHYA MONDAL | Contact No | |
| Address | 28 ACHAKRABORTY LANE SERAMPORE | Age | 71 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||