Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05924 | Date 24/07/2019 |
| Token No | SM/19-20/24123 14/07/2020 | Serial | 026 Last Visit: 10/07/2023 |
| Patient Name | Mrs. RUMA ROY | Contact No | 9051075728 |
| Address | 16 RAJA K.L GOSWAMI STREET SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||