Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09249 | Date 27/02/2021 |
| Token No | SM/20-21/30167 27/02/2021 | Serial | 014 Last Visit: 26/07/2025 |
| Patient Name | Miss POULAMI GANGULY | Contact No | 6289388823 |
| Address | 3/E DUTTA PARA LANE CHATRA SERAMPORE | Age | 30 Years,2 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||