Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05258 | Date 27/05/2019 |
| Token No | SM/19-20/3550 27/05/2019 | Serial | 106 Last Visit: 14/01/2025 |
| Patient Name | Mrs. LILI BANERJEE | Contact No | 8240937963 |
| Address | 7/D DUTTA PARA LANE CHATRA SERAMPORE | Age | 52 Years,0 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||