Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10467 | Date 28/12/2021 |
| Token No | SM/22-23/16951 20/09/2022 | Serial | 045 Last Visit: 03/11/2025 |
| Patient Name | Mrs. SHATABBDI PODDER | Contact No | 8927901903 |
| Address | 13 P N MUKHERJEE ROAD SERAMPORE | Age | 40 Years,10 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||