Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00367 | Date 11/08/2018 |
| Token No | SM/19-20/8034 06/08/2019 | Serial | 055 Last Visit: 23/08/2025 |
| Patient Name | Mrs. KALYANI MUKHERJEE | Contact No | 9432246917 |
| Address | P.N. MUKHERJEE STREET | Age | 79 Years,7 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||