Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04963 | Date 29/04/2019 |
| Token No | SM/19-20/5641 29/06/2019 | Serial | 074 Last Visit: 08/11/2025 |
| Patient Name | Miss ANINDITA BANERJEE | Contact No | 8479979568 |
| Address | 1A/1 K.K MUKHERJEE SARANI CHATRA, SERAMPORE | Age | 23 Years,10 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||