Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09071 | Date 18/12/2020 |
| Token No | SM/25-26/15823 26/10/2026 at 10:10 | Serial | 002 Last Visit: 26/10/2026 |
| Patient Name | Mrs. SULEKHA BANERJEE | Contact No | 6289995964 |
| Address | 13 CHATRA DHARMOTALA LANE, SERAMPORE | Age | 61 Years,9 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 122/60 mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 18.093794 |
| Diagnosis | |||