Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03257 | Date 31/01/2019 |
| Token No | SM/18-19/8302 08/02/2019 | Serial | 028 Last Visit: 21/06/2025 |
| Patient Name | Mrs. BARNALI DEY | Contact No | 9874784027 |
| Address | 78/A A P GHOSH ROAD SERAMPORE | Age | 40 Years,5 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||