Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02652 | Date 22/12/2018 |
| Token No | SM/19-20/10761 20/09/2019 | Serial | 052 Last Visit: 05/11/2025 |
| Patient Name | Mrs. SWAGATA MUKHERJEE | Contact No | 8478091939 |
| Address | 33/D DR P.N MUKHERJEE STREET | Age | 37 Years,10 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 69.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||