Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02890 | Date 08/01/2019 |
| Token No | SM/24-25/32809 23/05/2024 | Serial | 040 Last Visit: 28/04/2025 |
| Patient Name | Mrs. JAYANTI GOSWAMI | Contact No | 9123738072 |
| Address | 31 THAKUR DAS BABU LANE, SERAMPORE | Age | 47 Years,3 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||