Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09812 | Date 07/07/2021 |
| Token No | SM/21-22/2964 07/07/2021 | Serial | 021 Last Visit: 20/09/2025 |
| Patient Name | Miss SHARMITA SHEE | Contact No | 8697585484 |
| Address | 45 A CHATRA BARUI PARA LANE SERAMPORE | Age | 29 Years,10 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||