Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14177 | Date 21/08/2024 |
| Token No | SM/24-25/36432 23/08/2024 | Serial | 043 Last Visit: 17/11/2025 |
| Patient Name | Mrs. SHIPRA CHAKRABORTTY | Contact No | 7407645833 |
| Address | SERAMPORE CHATRA | Age | 51 Years,10 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||