Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05483 | Date 18/06/2019 |
| Token No | SM/19-20/4833 18/06/2019 | Serial | 091 Last Visit: 10/09/2025 |
| Patient Name | Mrs. SANTANA MUKHERJEE | Contact No | 8334907424 |
| Address | 13, P.N MUKHERJEE STREET | Age | 56 Years,8 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||