Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00848 | Date 31/08/2018 |
| Token No | SM/21-22/1920 04/06/2021 | Serial | 015 Last Visit: 12/08/2021 |
| Patient Name | Mrs. REKHA GHOSAL | Contact No | 8017902080 |
| Address | 88 NS AVENUE SERAMPORE | Age | 56YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||