Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09822 | Date 08/07/2021 |
| Token No | SM/21-22/3017 08/07/2021 | Serial | 039 Last Visit: 14/08/2024 |
| Patient Name | Mrs. PRITI AGARWAL | Contact No | 8902393975 |
| Address | 23/A/2, LAL BAHADUR SHASTRI ROAD SERAMPORE | Age | 35 Years,7 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||