Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11207 | Date 28/06/2022 |
| Token No | SM/22-23/14116 28/06/2022 | Serial | 038 Last Visit: 28/08/2025 |
| Patient Name | Mrs. SANDHYA KOLEY | Contact No | 7890830362 |
| Address | 6/A S C CHATTERJEE SARANI BSERAMPORE | Age | 58 Years,7 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 33.539371 |
| Diagnosis | |||