Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10359 | Date 29/11/2021 |
| Token No | SM/21-22/7292 29/11/2021 | Serial | 018 Last Visit: 17/03/2023 |
| Patient Name | Miss SRUTI KOLEY | Contact No | 9331072693 |
| Address | 14 THAKUR DAS BABU LANE SERAMPORE (M) | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||