Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05566 | Date 25/06/2019 |
| Token No | SM/19-20/7733 01/08/2019 | Serial | 064 Last Visit: 15/11/2025 |
| Patient Name | Mrs. KEKA MUKHERJEE | Contact No | 9903843029 |
| Address | 297 TELIPARA LANE CHATRA BAIDYABATI(M) | Age | 49 Years,10 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||