Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08412 | Date 24/06/2020 |
| Token No | SM/19-20/23332 24/06/2020 | Serial | 004 Last Visit: 26/06/2025 |
| Patient Name | Mrs. SIMA BENERJEE | Contact No | 9123855231 |
| Address | 14 JAGA MOHAN LAHIRI LANE CHATRA SERAMPORE | Age | 36 Years,5 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||