Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02171 | Date 28/11/2018 |
| Token No | SM/25-26/5174 23/08/2025 | Serial | 054 Last Visit: 23/08/2025 |
| Patient Name | Mrs. BAISHALI KUNDU | Contact No | 8017159716 |
| Address | 3A /5 CHATRA DUTTA PARA CHATRA SERAMPORE | Age | 25 Years,7 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||