Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02398 | Date 07/12/2018 |
| Token No | SM/19-20/10693 19/09/2019 | Serial | 075 Last Visit: 12/11/2025 |
| Patient Name | Mrs. SOMA MUKHERJEE | Contact No | 9163523640 |
| Address | 7 DR. CHATERJEE LANE, SERAMORE | Age | 57 Years,10 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||