Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10683 | Date 18/02/2022 |
| Token No | SM/21-22/10266 25/02/2022 | Serial | 022 Last Visit: 23/06/2022 |
| Patient Name | Mrs. RANI SENGUPTA | Contact No | 9038576202 |
| Address | 36 DR.G.C GOSWAMI STREET SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||