Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04598 | Date 06/04/2019 |
| Token No | SM/19-20/425 06/04/2019 | Serial | 053 Last Visit: 19/02/2025 |
| Patient Name | Mrs. SUSHAMA MUKHERJEE | Contact No | 8910424339 |
| Address | 59 DUTTA PARA LANE, SERAMPORE | Age | 73 Years,1 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||