Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06722 | Date 22/10/2019 |
| Token No | SM/21-22/2104 10/06/2021 | Serial | 011 Last Visit: 08/01/2022 |
| Patient Name | Mrs. TAPATI BANERJEE | Contact No | 9874392737 |
| Address | 39/A/2 ROY M.C LAHIRI BAHDUR STREET , SERAMPORE | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||