Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06888 | Date 18/11/2019 |
| Token No | SM/19-20/13437 18/11/2019 | Serial | 012 Last Visit: 08/11/2024 |
| Patient Name | Mrs. MOUSUMI MONDAL | Contact No | 8697724996 |
| Address | 28/A CHAKRABORTY LANE SERAMPORE | Age | 24 Years,10 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||