Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07647 | Date 27/02/2020 |
| Token No | SM/19-20/21371 20/04/2020 | Serial | 046 Last Visit: 08/06/2024 |
| Patient Name | Mrs. ARATI DEVI | Contact No | |
| Address | 26 CHAKRABORTY LANE CHATRA SERAMPORE | Age | 30 Years,5 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||