Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10297 | Date 17/11/2021 |
| Token No | SM/21-22/6906 17/11/2021 | Serial | 033 Last Visit: 17/11/2021 |
| Patient Name | Mrs. BASANTI KUNDU | Contact No | |
| Address | BENE PARA LANE SERAMPORE | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||