Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09492 | Date 19/04/2021 |
| Token No | SM/22-23/27423 22/12/2023 | Serial | 002 Last Visit: 30/05/2025 |
| Patient Name | Mrs. SIPRA DAS | Contact No | 8420794148 |
| Address | 40/C BARA BAGAN LANE SERAMPORE | Age | 74 Years,9 Months,15 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 172/102 mmHg | Weight | 46.1 KG |
| Pulse Rate | / min | Height | 147 cm BMI: 21.333704 |
| Diagnosis | |||