Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08795 | Date 29/09/2020 |
| Token No | SM/20-21/28106 04/12/2020 | Serial | 057 Last Visit: 29/10/2025 |
| Patient Name | Mrs. KRISHNA ROY | Contact No | 8017625118 |
| Address | 79 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 47 Years,9 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||