Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10991 | Date 11/05/2022 |
| Token No | SM/22-23/16803 16/09/2022 | Serial | 030 Last Visit: 08/08/2025 |
| Patient Name | Mrs. PRIYANKA KOLEY | Contact No | 6290262499 |
| Address | 12/C S.C CHATTERJEE SARANI | Age | 27 Years,4 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | 163.1 cm BMI: 29.321534 |
| Diagnosis | |||