Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04118 | Date 09/03/2019 |
| Token No | SM/18-19/10250 09/03/2019 | Serial | 041 Last Visit: 21/11/2025 |
| Patient Name | Mrs. SRABANI MUKHERJEE | Contact No | 9007861461 |
| Address | 31/C DOLTALA, CHATRA SERAMPORE | Age | 60 Years,3 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||