Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04964 | Date 29/04/2019 |
| Token No | SM/22-23/30097 09/03/2024 | Serial | 032 Last Visit: 09/03/2024 |
| Patient Name | Mrs. MIDULA DEY | Contact No | 8768959827 |
| Address | 34/A RMC STREET LAHIRI PARA , SERAMPORE | Age | 32 Years,2 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||