Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08561 | Date 18/07/2020 |
| Token No | SM/20-21/28598 19/12/2020 | Serial | 008 Last Visit: 03/09/2025 |
| Patient Name | Mrs. KRISHNA BANERJEE | Contact No | 9123628479 |
| Address | 31/A/1 BARA BAGAN LANE SERAMPORE MALLICKPARA | Age | 66 Years,8 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||