Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00571 | Date 20/08/2018 |
| Token No | SM/19-20/15507 18/12/2019 | Serial | 017 Last Visit: 26/11/2025 |
| Patient Name | Mrs. CHHOBI BANERJEE | Contact No | 9874542873 |
| Address | 15, P.N MUKHERJEE STREET CHATRA | Age | 67 Years,10 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||