Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09864 | Date 23/07/2021 |
| Token No | SM/22-23/18364 29/11/2022 | Serial | 007 Last Visit: 08/12/2025 |
| Patient Name | Mrs. HENA MUKHERJEE | Contact No | 9038511644 |
| Address | 118,TELI PARA LANE CHATRA BAGER BAGAN SERAMPORE | Age | 58 Years,11 Months,6 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 24.121749 |
| Diagnosis | |||