Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07156 | Date 16/12/2019 |
| Token No | SM/19-20/15356 16/12/2019 | Serial | 020 Last Visit: 20/07/2023 |
| Patient Name | Mrs. PAYAL DAS | Contact No | 9836815514 |
| Address | 16 K.L GOSWAMI STREET SERAMPORE | Age | 20 Years,6 Months,17 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||