Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00751 | Date 27/08/2018 |
| Token No | SM/20-21/28051 04/12/2020 | Serial | 002 Last Visit: 04/12/2025 |
| Patient Name | Mrs. LILA CHATTERJEE | Contact No | 8481803265 |
| Address | 58 DUTTA PARA CHATRA, SERAMPORE | Age | 50 Years,11 Months,2 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||