Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00933 | Date 05/09/2018 |
| Token No | SM/19-20/20690 03/04/2020 | Serial | 021 Last Visit: 05/03/2022 |
| Patient Name | Mrs. MINTU CHANDA | Contact No | 9339536645 |
| Address | 31 G.C GOSWAMI STREET SERAMPORE HOOGHLY | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||