Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06215 | Date 24/08/2019 |
| Token No | SM/21-22/2036 09/06/2021 | Serial | 001 Last Visit: 12/09/2025 |
| Patient Name | Mrs. RUMA MUKHERJEE | Contact No | 8100138770 |
| Address | 16 CHOWDHURY PARA LANE CHATRA SERAMPORE | Age | 42 Years,8 Months,11 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||