Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09603 | Date 11/05/2021 |
| Token No | SM/21-22/1301 11/05/2021 | Serial | 019 Last Visit: 20/01/2025 |
| Patient Name | Mrs. ANJANA BANERJEE | Contact No | 9230221764 |
| Address | 1 DHARMOTALA SERAMPORE | Age | 55 Years,0 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||