Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03600 | Date 15/02/2019 |
| Token No | SM/19-20/18005 13/02/2020 | Serial | 024 Last Visit: 12/02/2025 |
| Patient Name | Mrs. CHUMKI BENERJEE | Contact No | 8420615346 |
| Address | 56 CHATRA DUTTA PARA, SERAMPORE | Age | 47 Years,1 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||