Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04932 | Date 26/04/2019 |
| Token No | SM/19-20/1744 26/04/2019 | Serial | 056 Last Visit: 27/03/2025 |
| Patient Name | Mrs. MITHU BISWAS | Contact No | 9339737492 |
| Address | 6 JAGO MOHAN LAHRI LANE, SERAMPORE | Age | 48 Years,11 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||