Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09195 | Date 20/01/2021 |
| Token No | SM/20-21/29573 20/01/2021 | Serial | 021 Last Visit: 06/09/2022 |
| Patient Name | Mrs. MALATI KARMOKAR | Contact No | 7278025421 |
| Address | 23 THAKUR DAS BABU LANE GOSWAMI PARA , SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||