Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07480 | Date 05/02/2020 |
| Token No | SM/21-22/7314 29/11/2021 | Serial | 040 Last Visit: 21/11/2025 |
| Patient Name | Mrs. SANKARI PAUL | Contact No | 9038042037 |
| Address | 12/G/1/C ARABINDA SARANI SERAMPORE | Age | 64 Years,10 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||