Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10273 | Date 15/11/2021 |
| Token No | SM/21-22/6801 15/11/2021 | Serial | 003 Last Visit: 28/10/2025 |
| Patient Name | Mrs. PIYALI BENERJEE | Contact No | 6291121541 |
| Address | 74 A.P. GHOSH ROAD SERAMPORE | Age | 40 Years,9 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||