Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12768 | Date 28/11/2023 |
| Token No | SM/22-23/26531 28/11/2023 | Serial | 019 Last Visit: 31/12/2025 |
| Patient Name | Mrs. MAMATA BANERJEE | Contact No | 9093974898 |
| Address | GOPALPUR,AKUNI,HOOGHLY | Age | 60 Years,1 Months,13 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 22.632591 |
| Diagnosis | |||