Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11465 | Date 22/08/2022 |
| Token No | SM/22-23/15905 22/08/2022 | Serial | 015 Last Visit: 22/08/2022 |
| Patient Name | Mrs. PURNIMA SANYAL | Contact No | 9433004855 |
| Address | 7A, DR. G.C GOSWAMI STREET SERAMPORE HOOGHLY | Age | 77 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||