Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02220 | Date 29/11/2018 |
| Token No | SM/19-20/14095 27/11/2019 | Serial | 004 Last Visit: 11/02/2022 |
| Patient Name | Mrs. ANJALI DUTTA | Contact No | 9163000262 |
| Address | 8B/1/A DR. BAGAN CHATRA SERAMPORE | Age | 79 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||