Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10058 | Date 08/09/2021 |
| Token No | SM/21-22/4859 08/09/2021 | Serial | 001 Last Visit: 08/11/2025 |
| Patient Name | Miss ANWESHA CHAKRABORTY | Contact No | 6291202959 |
| Address | 11/D P.N MUKHERJEE STREET CHATRA SERAMPORE | Age | 20 Years,10 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||