Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03815 | Date 22/02/2019 |
| Token No | SM/19-20/4095 06/06/2019 | Serial | 071 Last Visit: 23/07/2024 |
| Patient Name | Mrs. DEVI RAJAK | Contact No | 8336829322 |
| Address | 144(121/3) SITALATALA ROAD SERAMPORE | Age | 39 Years,8 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||