Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09696 | Date 09/06/2021 |
| Token No | SM/21-22/2067 09/06/2021 | Serial | 032 Last Visit: 23/09/2022 |
| Patient Name | Mrs. PUJA CHATTOPADHYAY | Contact No | 8777844951 |
| Address | 53,DR. G.C GOSWAMI STREET SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||