Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09879 | Date 27/07/2021 |
| Token No | SM/22-23/23482 10/08/2023 | Serial | 005 Last Visit: 24/03/2025 |
| Patient Name | Miss RAJLINA BHATTACHARJEE | Contact No | 8777653241 |
| Address | 33/A P.N MUKHERJEE STREET SERAMPORE | Age | 19 Years,6 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||