Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07798 | Date 14/03/2020 |
| Token No | SM/20-21/27822 26/11/2020 | Serial | 023 Last Visit: 19/05/2025 |
| Patient Name | Mrs. ILA CHAKRABORTY | Contact No | 7686974977 |
| Address | 9 DR. G.C GOSWAMI STREET SERAMPORE | Age | 54 Years,4 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||