Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09068 | Date 18/12/2020 |
| Token No | SM/20-21/28558 18/12/2020 | Serial | 006 Last Visit: 05/02/2025 |
| Patient Name | Mrs. MANJU PAL | Contact No | 9831074279 |
| Address | 8 HARIMOHAN STREET GOSWAMI PARA, SERAMPORE | Age | 75 Years,1 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||