Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02104 | Date 24/11/2018 |
| Token No | SM/18-19/4421 30/11/2018 | Serial | 010 Last Visit: 03/12/2025 |
| Patient Name | Mrs. PURNIMA DEY (MUKHERJEE) | Contact No | 9331055344 |
| Address | 23 NO. CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 55 Years,11 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||