Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09876 | Date 26/07/2021 |
| Token No | SM/24-25/34336 01/07/2024 | Serial | 041 Last Visit: 28/11/2025 |
| Patient Name | Mrs. MANIKA CHOWDHURY | Contact No | 9830514494 |
| Address | RAJA K.L GHOSWAMI STREET SERAMPORE | Age | 67 Years,10 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||