Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00461 | Date 16/08/2018 |
| Token No | SM/18-19/516 16/08/2018 | Serial | 004 Last Visit: 29/12/2025 |
| Patient Name | Mrs. SHANKARI MUKHERJEE | Contact No | 8100138770 |
| Address | 16, CHOWDHURY PARA | Age | 64 Years,11 Months,27 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 132/85 mmHg | Weight | 59.5 KG |
| Pulse Rate | 67 / min | Height | cm BMI: inf |
| Diagnosis | |||