Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00682 | Date 25/08/2018 |
| Token No | SM/20-21/27447 11/11/2020 | Serial | 004 Last Visit: 18/12/2025 |
| Patient Name | Mrs. NIRUPAMA CHATTAERJEE | Contact No | 9748957825 |
| Address | 85 NO. A.P GHOSH ROAD SERAMPORE | Age | 55 Years,11 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||