Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01166 | Date 15/09/2018 |
| Token No | SM/18-19/11246 26/03/2019 | Serial | 039 Last Visit: 13/12/2025 |
| Patient Name | Mrs. SHIPRA MUKHERJEE | Contact No | 9163748177 |
| Address | 37 CHATRA BAZAR ROAD | Age | 50 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||