Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06187 | Date 21/08/2019 |
| Token No | SM/19-20/8869 21/08/2019 | Serial | 031 Last Visit: 14/10/2019 |
| Patient Name | Mrs. SHILA CHANDA | Contact No | 7003147380 |
| Address | 20 DR G C GOSWAMI STREET SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||