Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04707 | Date 16/04/2019 |
| Token No | SM/19-20/21664 28/04/2020 | Serial | 013 Last Visit: 22/12/2025 |
| Patient Name | Mrs. RAJYASREE CHATERJEE | Contact No | 9051072362 |
| Address | 16 CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 51 Years,11 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||