Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06246 | Date 28/08/2019 |
| Token No | SM/19-20/9291 28/08/2019 | Serial | 014 Last Visit: 01/02/2025 |
| Patient Name | Miss ANUBRATI CHAKRABORTY | Contact No | 7980862146 |
| Address | 11/C DUTTAS LANE CHATRA SERAMPORE | Age | 22 Years,1 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||