Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05595 | Date 27/06/2019 |
| Token No | SM/24-25/42391 01/02/2025 | Serial | 028 Last Visit: 05/02/2025 |
| Patient Name | Miss MAMPI MUKHERJEE | Contact No | 9830297002 |
| Address | 4 DUTTA PARA LANE, SERAMPORE | Age | 20 Years,7 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||