Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07728 | Date 07/03/2020 |
| Token No | SM/22-23/23173 26/07/2023 | Serial | 007 Last Visit: 26/07/2023 |
| Patient Name | Miss MAYURI JANA | Contact No | 8274969133 |
| Address | 16 RAJA K.L GOSWAMI STREET SERAMPORE | Age | 19 Years,6 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||