Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01393 | Date 27/09/2018 |
| Token No | SM/19-20/24390 24/07/2020 | Serial | 007 Last Visit: 13/12/2025 |
| Patient Name | Mrs. RUMA KUNDU | Contact No | 9007792938 |
| Address | 5 CHATRA CHOWDHURY PARA BYE LANE, SERAMPORE | Age | 37 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||