Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06230 | Date 27/08/2019 |
| Token No | SM/19-20/23080 15/06/2020 | Serial | 002 Last Visit: 03/12/2025 |
| Patient Name | Mrs. BABY CHAKRABORTY | Contact No | 9874276402 |
| Address | 11/C DUTTAS LANE CHATRA SERAMPORE | Age | 43 Years,11 Months,1 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||