Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05219 | Date 24/05/2019 |
| Token No | SM/22-23/12226 06/05/2022 | Serial | 003 Last Visit: 10/09/2025 |
| Patient Name | Mrs. JAYANTI GHATAK | Contact No | 8001675096 |
| Address | 9 G C GOSWAMI PARA LANE SERAMPORE | Age | 56 Years,8 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 170/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 22.222222 |
| Diagnosis | |||