Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08697 | Date 03/09/2020 |
| Token No | SM/22-23/23172 26/07/2023 | Serial | 006 Last Visit: 26/07/2023 |
| Patient Name | Mrs. ANJALI JANA | Contact No | 9804733827 |
| Address | 16 RAJA K. L GOSWAMI STREET SERAMPORE | Age | 21 Years,6 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||