Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12027 | Date 06/04/2023 |
| Token No | SM/22-23/21039 06/04/2023 | Serial | 017 Last Visit: 10/11/2023 |
| Patient Name | Mrs. DIPIKA DAS | Contact No | 8420327396 |
| Address | 12/1 CHAKRABORTY LANE SERAMPORE | Age | 32 Years,10 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||