Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08006 | Date 03/04/2020 |
| Token No | SM/22-23/13667 17/06/2022 | Serial | 051 Last Visit: 19/09/2025 |
| Patient Name | Miss PRIYANKA DAS | Contact No | 6289055471 |
| Address | 31A BARA BAGAN LANE, SERAMPORE MALLICKPARA | Age | 21 Years,7 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | 156.5 cm BMI: 15.515112 |
| Diagnosis | |||