Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02012 | Date 16/11/2018 |
| Token No | SM/18-19/5382 17/12/2018 | Serial | 063 Last Visit: 09/04/2025 |
| Patient Name | Mrs. SOMA CHAKRABORTY | Contact No | 8981232574 |
| Address | 33/X TARAPUKUR QUATER | Age | 48 Years,3 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||