Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02670 | Date 24/12/2018 |
| Token No | SM/18-19/5697 24/12/2018 | Serial | 020 Last Visit: 24/05/2025 |
| Patient Name | Mrs. RITA BENERJEE | Contact No | 9874331439 |
| Address | 28 DUTTA PARA LANE, SERAMPORE | Age | 55 Years,4 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||