Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06287 | Date 31/08/2019 |
| Token No | SM/21-22/6624 08/11/2021 | Serial | 019 Last Visit: 08/11/2021 |
| Patient Name | Mrs. BITHI DAS | Contact No | 7059141682 |
| Address | 31/A DR. GC GOSWAMI STREET SERAMPORE | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||