Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10358 | Date 29/11/2021 |
| Token No | SM/24-25/39901 26/11/2024 | Serial | 021 Last Visit: 25/04/2025 |
| Patient Name | Mrs. SARBARI BHATTACHARYA | Contact No | 8334857139 |
| Address | 95,D.N MUKHERJEE ROAD SERAMPORE | Age | 79 Years,3 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||