Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03852 | Date 25/02/2019 |
| Token No | SM/18-19/9415 25/02/2019 | Serial | 022 Last Visit: 18/08/2025 |
| Patient Name | Mrs. AMRITA PRAMANIK | Contact No | 8017842185 |
| Address | 76 CHATRA BARUI PARA,SERAMPORE(M) | Age | 57 Years,7 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||