Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06339 | Date 06/09/2019 |
| Token No | SM/21-22/3947 11/08/2021 | Serial | 010 Last Visit: 06/12/2025 |
| Patient Name | Mrs. KANIKA MUKHERJEE | Contact No | 8981364727 |
| Address | 67(28) GURUDAS BHATTCHARYA LANE , BAIDYABATI(M) | Age | 62 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||