Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05928 | Date 24/07/2019 |
| Token No | SM/22-23/17975 16/11/2022 | Serial | 020 Last Visit: 03/12/2025 |
| Patient Name | Mrs. SHOBHA RANI SARKAR | Contact No | 9239590509 |
| Address | 37/F CHATRA DHARMOTALA SERAMPORE | Age | 72 Years,11 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||