Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09929 | Date 11/08/2021 |
| Token No | SM/21-22/8571 06/01/2022 | Serial | 022 Last Visit: 27/01/2025 |
| Patient Name | Mrs. RUMPA BAG | Contact No | 8582880322 |
| Address | 19/49 K.C MUKHERJEE STREET SERAMPORE | Age | 44 Years,0 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||