Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04715 | Date 16/04/2019 |
| Token No | SM/19-20/1388 22/04/2019 | Serial | 103 Last Visit: 07/02/2020 |
| Patient Name | Mrs. PUJA PANDIT | Contact No | 9830994410 |
| Address | MC ROY BAHDUR STREET CHATRA , SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||