Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05517 | Date 22/06/2019 |
| Token No | SM/19-20/7104 23/07/2019 | Serial | 042 Last Visit: 18/10/2025 |
| Patient Name | Mrs. DALIYA CHAKRABORTY | Contact No | 9903873987 |
| Address | 11 DR P.N MUKHERJEE STREET SERAMPORE | Age | 47 Years,9 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||