Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03492 | Date 12/02/2019 |
| Token No | SM/20-21/27098 03/11/2020 | Serial | 023 Last Visit: 15/10/2025 |
| Patient Name | Miss DEBASREETA MANNA | Contact No | 9339418168 |
| Address | 16, CHAKRABORTY LANE, SERAMPORE | Age | 19 Years,9 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||