Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05497 | Date 20/06/2019 |
| Token No | SM/19-20/16099 31/12/2019 | Serial | 041 Last Visit: 09/04/2021 |
| Patient Name | Mrs. KRISHANA BHATTCHARJEE | Contact No | 9830435203 |
| Address | 16E RAJA K.L GOSWAMI STREET SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||