Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07356 | Date 17/01/2020 |
| Token No | SM/19-20/25504 08/09/2020 | Serial | 018 Last Visit: 14/01/2022 |
| Patient Name | Mrs. MAYA MUKHERJEE | Contact No | 9433362997 |
| Address | 10 G.C GOSWAMI STREET SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||