Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02593 | Date 19/12/2018 |
| Token No | SM/21-22/8278 30/12/2021 | Serial | 009 Last Visit: 02/01/2024 |
| Patient Name | Mrs. RUPA BHANGARI | Contact No | 7278899484 |
| Address | 16 RAJA K.L GOSWAMI STREET, SERAMPORE | Age | 37 Years,10 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||