Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09182 | Date 16/01/2021 |
| Token No | SM/21-22/4255 21/08/2021 | Serial | 036 Last Visit: 16/08/2023 |
| Patient Name | Mrs. SANJU RAY | Contact No | 9830736912 |
| Address | 23 BENIYA PARA LANE, SERAMPORE | Age | 54 Years,2 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||