Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09829 | Date 10/07/2021 |
| Token No | SM/21-22/3068 10/07/2021 | Serial | 008 Last Visit: 12/09/2025 |
| Patient Name | Mrs. LALITA AGARWAL | Contact No | 8902393975 |
| Address | 23/A/2, LALBAHADUR SHASTRI ROAD SERAMPORE | Age | 63 Years,8 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||