Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00567 | Date 20/08/2018 |
| Token No | SM/19-20/511 08/04/2019 | Serial | 075 Last Visit: 21/11/2025 |
| Patient Name | Mrs. MINAKHI BANERJEE | Contact No | 9051253102 |
| Address | 45/A DUTTA PARA LANE , CHATRA | Age | 47 Years,10 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||