Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09244 | Date 04/02/2021 |
| Token No | SM/22-23/15795 17/08/2022 | Serial | 010 Last Visit: 14/11/2025 |
| Patient Name | Mrs. MITHU CHAKRABORTY | Contact No | 9732502324 |
| Address | 28 A. P GHOSH ROAD CHATRA SERAMPORE | Age | 45 Years,10 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||