Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06364 | Date 09/09/2019 |
| Token No | SM/19-20/20354 27/03/2020 | Serial | 002 Last Visit: 09/01/2025 |
| Patient Name | Mrs. SOMA MUKHERJEE | Contact No | 9163922296 |
| Address | 37 AP GHOSH LANE | Age | 40 Years,0 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||