Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04775 | Date 20/04/2019 |
| Token No | SM/20-21/26697 15/10/2020 | Serial | 040 Last Visit: 01/12/2025 |
| Patient Name | Mrs. NUPUR BHATTCHARJEE | Contact No | 8272930522 |
| Address | 6 GURDAS BHATTCHARJEE LANE , BAIDYABATI (M) | Age | 65 Years,11 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||