Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04526 | Date 03/04/2019 |
| Token No | SM/19-20/164 03/04/2019 | Serial | 019 Last Visit: 26/11/2025 |
| Patient Name | Mrs. SUPARNA GHOSH | Contact No | 7596922669 |
| Address | 3,DHARMATALA BYE LANE,CHATRA,SERAMPORE | Age | 32 Years,7 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||