Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12347 | Date 19/08/2023 |
| Token No | SM/22-23/23876 25/08/2023 | Serial | 004 Last Visit: 19/11/2025 |
| Patient Name | Mrs. BELA BANERJEE | Contact No | 9051146917 |
| Address | 18/C RAJA RAMMOHAN ROY SARANI SERAMPORE | Age | 66 Years,11 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 137/70 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | 153.2 cm BMI: 25.138218 |
| Diagnosis | |||