Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09522 | Date 22/04/2021 |
| Token No | SM/21-22/3523 26/07/2021 | Serial | 047 Last Visit: 09/10/2025 |
| Patient Name | Mrs. SARBANI CHAKRABORTY | Contact No | 9073737280 |
| Address | 2 NO CHAMPATALA LANE CHATRA SERAMPORE HOOGHLY | Age | 55 Years,11 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||