Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14581 | Date 21/11/2024 |
| Token No | SM/24-25/39755 21/11/2024 | Serial | 050 Last Visit: 21/11/2025 |
| Patient Name | Mrs. SHAMPA CHANDRA | Contact No | 8647843455 |
| Address | 94 NETAJI SUBHAS AVENUE SERAMPORE | Age | 54 Years,0 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||