Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00952 | Date 06/09/2018 |
| Token No | SM/21-22/2963 07/07/2021 | Serial | 020 Last Visit: 26/09/2025 |
| Patient Name | Mrs. SUDIPTA SHEE | Contact No | 8647844723 |
| Address | 45/A CHATRA BARUIPARA LANE SERAMPORE | Age | 53 Years,8 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||