Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00506 | Date 17/08/2018 |
| Token No | SM/19-20/17209 27/01/2020 | Serial | 004 Last Visit: 07/02/2022 |
| Patient Name | Mrs. MITALI CHATTERJEE | Contact No | 7278893559 |
| Address | 19, RAJA K.L GOSWAMI STREET, SERAMPORE | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||