Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09071 | Date 18/12/2020 |
| Token No | SM/20-21/28572 18/12/2020 | Serial | 020 Last Visit: 17/12/2025 |
| Patient Name | Mrs. SULEKHA BANERJEE | Contact No | 6289995964 |
| Address | 13 CHATRA DHARMOTALA LANE, SERAMPORE | Age | 60 Years,11 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||