Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07965 | Date 30/03/2020 |
| Token No | SM/19-20/20734 04/04/2020 | Serial | 015 Last Visit: 13/12/2022 |
| Patient Name | Mrs. SUCHITRA JANA | Contact No | 7686007312 |
| Address | 16 RAJA ,K.L. GOSWAMI STREET, SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||