Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07309 | Date 09/01/2020 |
| Token No | SM/19-20/18381 19/02/2020 | Serial | 042 Last Visit: 04/03/2023 |
| Patient Name | Miss KOYEL KARMAKAR | Contact No | 7278025421 |
| Address | 25,CHAKRABORTY LANE SERAMPORE | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||