Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00029 | Date 01/08/2018 |
| Token No | SM/18-19/2775 11/10/2018 | Serial | 038 Last Visit: 02/09/2025 |
| Patient Name | Mrs. MANJU MUKHERJEE | Contact No | 9231408018 |
| Address | 34 P.N. MUKHERJEE STREET | Age | 64 Years,8 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||