Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07750 | Date 11/03/2020 |
| Token No | SM/19-20/21154 15/04/2020 | Serial | 038 Last Visit: 28/05/2025 |
| Patient Name | Mrs. ANJANA DAS | Contact No | 8240293500 |
| Address | 34/A RMC LAHIRI STREET SERAMPORE | Age | 60 Years,8 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||