Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00515 | Date 17/08/2018 |
| Token No | SM/21-22/1054 03/05/2021 | Serial | 002 Last Visit: 06/03/2023 |
| Patient Name | Mrs. KRISHNA BANERJEE | Contact No | 9674506521 |
| Address | 49/B CHATRA DHARMATALA SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||