Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04791 | Date 20/04/2019 |
| Token No | SM/22-23/22945 17/07/2023 | Serial | 020 Last Visit: 17/01/2025 |
| Patient Name | Mrs. DEBASRI DUTTA | Contact No | 9230837022 |
| Address | 19, RAJA K.L GOSWAMI STREET , SERAMPORE | Age | 39 Years,0 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||