Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02105 | Date 24/11/2018 |
| Token No | SM/21-22/7233 27/11/2021 | Serial | 009 Last Visit: 17/11/2025 |
| Patient Name | Mrs. KAKULI BANERJEE | Contact No | 9007324722 |
| Address | 13,CHATRA DHARMATALA | Age | 47 Years,10 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||