Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09389 | Date 24/03/2021 |
| Token No | SM/21-22/759 23/04/2021 | Serial | 012 Last Visit: 11/07/2025 |
| Patient Name | Mrs. JHUMA MUKHERJEE | Contact No | 8482074769 |
| Address | 49, CHATRA SHITALA TALA ROAD,BAIDYABATI | Age | 50 Years,6 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||