Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08904 | Date 21/10/2020 |
| Token No | SM/20-21/26911 21/10/2020 | Serial | 041 Last Visit: 07/08/2025 |
| Patient Name | Mrs. SOMA BANERJEE | Contact No | 9674538164 |
| Address | 19/A A.P. GHOSH ROAD, CHATRA, SERAMPORE | Age | 54 Years,7 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||