Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09383 | Date 23/03/2021 |
| Token No | SM/20-21/31085 23/03/2021 | Serial | 022 Last Visit: 19/11/2025 |
| Patient Name | Mrs. JAYASHREE CHATTERJEE | Contact No | 8013068110 |
| Address | 5/A CHAKRABORTY LANE SERAMPORE | Age | 54 Years,10 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||