Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00124 | Date 04/08/2018 |
| Token No | SM/21-22/84 03/04/2021 | Serial | 037 Last Visit: 13/10/2025 |
| Patient Name | Mrs. SARSWATI MUKHERJEE | Contact No | 9007763199 |
| Address | 224, BAGER BAGAN CHATRA, BAIDYABATI(M) | Age | 40 Years,9 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||