Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05035 | Date 08/05/2019 |
| Token No | SM/19-20/15786 23/12/2019 | Serial | 036 Last Visit: 06/12/2025 |
| Patient Name | Mrs. ANITA BANERJEE | Contact No | 9433981816 |
| Address | 16 THKUR DAS BABU LANE, SERAMPORE | Age | 55 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||