Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07550 | Date 15/02/2020 |
| Token No | SM/19-20/20308 26/03/2020 | Serial | 020 Last Visit: 28/11/2025 |
| Patient Name | Mrs. SOMA BANERJEE | Contact No | 8420360731 |
| Address | 16 DHARMOTALA LANE CHATRA , SERAMPORE | Age | 57 Years,10 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||