Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11556 | Date 10/09/2022 |
| Token No | SM/22-23/16602 10/09/2022 | Serial | 032 Last Visit: 28/11/2025 |
| Patient Name | Mrs. SWAGATA DAS | Contact No | 9433904465 |
| Address | 9/A/1 VIVEKANANDA LANE, SERAMPORE | Age | 35 Years,11 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 22.981902 |
| Diagnosis | |||