Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09391 | Date 24/03/2021 |
| Token No | SM/21-22/5675 01/10/2021 | Serial | 032 Last Visit: 07/11/2025 |
| Patient Name | Mrs. ASITA BANERJEE | Contact No | 9674369850 |
| Address | 22 DR,P.N MUKHERJEE STREET | Age | 63 Years,10 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||