Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01214 | Date 19/09/2018 |
| Token No | SM/18-19/4776 06/12/2018 | Serial | 031 Last Visit: 13/12/2025 |
| Patient Name | Mrs. SUPRITA SANYAL | Contact No | 9874240134 |
| Address | 6/B CAHTAR LAHIRI PARA, SERAMPORE | Age | 54 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||