Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00674 | Date 24/08/2018 |
| Token No | SM/19-20/17734 07/02/2020 | Serial | 007 Last Visit: 29/11/2025 |
| Patient Name | Mrs. MADHURI BAGCHI | Contact No | 9007753630 |
| Address | 13 DR P N MUKHARJEE STREET | Age | 63 Years,10 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||