Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06916 | Date 19/11/2019 |
| Token No | SM/19-20/13573 19/11/2019 | Serial | 070 Last Visit: 08/11/2025 |
| Patient Name | Mrs. TRIPTI HALDAR | Contact No | 9874326010 |
| Address | 16 RAJA K.L GOSWAMI STREET SERAMPORE | Age | 56 Years,10 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||