Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00313 | Date 10/08/2018 |
| Token No | SM/19-20/6949 20/07/2019 | Serial | 052 Last Visit: 04/08/2023 |
| Patient Name | Mrs. RADHARANI BANERJEE | Contact No | 8017113984 |
| Address | 7, RAJA K.L GOSWAMI STREET | Age | 83 Years,7 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||