Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05294 | Date 30/05/2019 |
| Token No | SM/21-22/2369 21/06/2021 | Serial | 012 Last Visit: 01/02/2025 |
| Patient Name | Mrs. ALO MUKHERJEE | Contact No | 9830297002 |
| Address | 4 CHATRA BAZAR ROAD SERAMPORE | Age | 50 Years,1 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||