Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00987 | Date 07/09/2018 |
| Token No | SM/18-19/1365 07/09/2018 | Serial | 037 Last Visit: 10/11/2025 |
| Patient Name | Mrs. MOMUMITA BANERJEE | Contact No | 8478964764 |
| Address | 209/H TELI PARA BAGER BAGAN CHATRA BAIDYABATI (M) | Age | 30 Years,10 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 151/90 mmHg | Weight | 73.5 KG |
| Pulse Rate | 96 / min | Height | cm BMI: inf |
| Diagnosis | |||