Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03917 | Date 28/02/2019 |
| Token No | SM/22-23/25943 04/11/2023 | Serial | 035 Last Visit: 04/11/2023 |
| Patient Name | Mrs. SNEHA BHATTACHARJEE | Contact No | 9433078070 |
| Address | 40 NO CHAKRABORTTY LANE GOSWAMI PARA | Age | 19 Years,3 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||