Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05818 | Date 18/07/2019 |
| Token No | SM/19-20/7981 06/08/2019 | Serial | 002 Last Visit: 27/11/2025 |
| Patient Name | Mrs. SUMAITRAYEE CHATTERJEE | Contact No | 9674779805 |
| Address | 14 CHOWDHURY PARA BEY LANE | Age | 51 Years,10 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||