Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01278 | Date 24/09/2018 |
| Token No | SM/19-20/15567 18/12/2019 | Serial | 077 Last Visit: 21/07/2025 |
| Patient Name | Mrs. ESHA CHAKRABORTY | Contact No | 9038663643 |
| Address | 24, CHATRA CHOWDHURY PARA LANE, SERAMPORE | Age | 28 Years,6 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||