Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03595 | Date 15/02/2019 |
| Token No | SM/18-19/8738 15/02/2019 | Serial | 026 Last Visit: 18/08/2025 |
| Patient Name | Mrs. ANJANA SADHUKHA | Contact No | 9051026219 |
| Address | 105 A P GHOSH ROAD, SERAMPORE | Age | 62 Years,7 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||