Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06449 | Date 17/09/2019 |
| Token No | SM/22-23/14577 13/07/2022 | Serial | 039 Last Visit: 18/07/2023 |
| Patient Name | Mrs. RAKHI BHATTCHARJEE | Contact No | 9433078070 |
| Address | 40 CHAKRABORTY LANE (GOSWAMI PARA ) SERAMPORE | Age | 45 Years,3 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||