Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04277 | Date 18/03/2019 |
| Token No | SM/19-20/1045 17/04/2019 | Serial | 052 Last Visit: 23/07/2025 |
| Patient Name | Mrs. NAMITA CHAKRABORTY | Contact No | 7686893009 |
| Address | 13A ROY MC LAHIRI BHADUR STREET SERAMPORE (M) | Age | 52 Years,6 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||