Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00191 | Date 07/08/2018 |
| Token No | SM/22-23/27035 11/12/2023 | Serial | 039 Last Visit: 28/05/2025 |
| Patient Name | Mrs. RITA CHATTERJEE | Contact No | |
| Address | 10, P.N. MUKHERJEE STREET | Age | 54 Years,4 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||