Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09227 | Date 29/01/2021 |
| Token No | SM/21-22/353 09/04/2021 | Serial | 022 Last Visit: 18/10/2025 |
| Patient Name | Mrs. BASANTI PARUI | Contact No | 7449727127 |
| Address | 4 SUDHIR CHANDRA LANE, SERAMPORE | Age | 59 Years,9 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||