Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10267 | Date 09/11/2021 |
| Token No | SM/25-26/15822 26/10/2026 at 10:09 | Serial | 001 Last Visit: 26/10/2026 |
| Patient Name | Mrs. KALYANI BANERJEE | Contact No | 9331502854 |
| Address | 13,DHARMATALA LANE SERAMPORE | Age | 88 Years,9 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | 140 cm BMI: 17.857143 |
| Diagnosis | |||