Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09146 | Date 08/01/2021 |
| Token No | SM/20-21/29194 08/01/2021 | Serial | 032 Last Visit: 13/12/2025 |
| Patient Name | Mrs. MADHABI DUTTA | Contact No | 9681614678 |
| Address | 54/A CHATRA BARUI PARA LANE, SERAMPORE | Age | 50 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||