Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03432 | Date 07/02/2019 |
| Token No | SM/21-22/2568 25/06/2021 | Serial | 035 Last Visit: 18/12/2025 |
| Patient Name | Mrs. PAMPA MUKHERJEE | Contact No | 8017206846 |
| Address | 4/A CHATRA BAZAR ROAD, SERAMPORE , 712204 | Age | 44 Years,11 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||