Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00895 | Date 04/09/2018 |
| Token No | SM/19-20/5490 27/06/2019 | Serial | 073 Last Visit: 17/07/2025 |
| Patient Name | Mrs. PAMPA GUPTA | Contact No | 8017183116 |
| Address | 10 VIVAKANAND LANE, SERAMPORE | Age | 33 Years,6 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||