Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12129 | Date 03/06/2023 |
| Token No | SM/22-23/21980 03/06/2023 | Serial | 016 Last Visit: 13/06/2025 |
| Patient Name | Mrs. SHARMILA CHAKRABORTY | Contact No | 7003371621 |
| Address | 22 DR P N MUKHERJEE STREET SERAMPORE | Age | 42 Years,6 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 90/60 mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||