Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09958 | Date 18/08/2021 |
| Token No | SM/21-22/5838 07/10/2021 | Serial | 021 Last Visit: 08/11/2021 |
| Patient Name | Mrs. PURNIMA DUTTA | Contact No | 9674868435 |
| Address | 13,BENIA PARA LANE SERAMPORE | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||