Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05416 | Date 13/06/2019 |
| Token No | SM/19-20/4503 13/06/2019 | Serial | 058 Last Visit: 21/11/2025 |
| Patient Name | Mrs. SUMITA MUKHERJEE | Contact No | 8697897907 |
| Address | 12/14 MUKHERJEE PARA CHATRA , BAIDYABATI(M) | Age | 44 Years,10 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||