Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07156 | Date 16/12/2019 |
| Token No | SM/22-23/23020 20/07/2023 | Serial | 028 Last Visit: 20/07/2023 |
| Patient Name | Mrs. PAYAL DAS | Contact No | 9836815514 |
| Address | 16 K.L GOSWAMI STREET SERAMPORE | Age | 20 Years,6 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | 150 cm BMI: 0.000000 |
| Diagnosis | |||