Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04757 | Date 18/04/2019 |
| Token No | SM/24-25/40076 29/11/2024 | Serial | 027 Last Visit: 18/12/2025 |
| Patient Name | Mrs. SOMA CHAKRABORTY | Contact No | 9339620741 |
| Address | 38 HARI MOHAN GOSWAMI STREET, SERAMPORE | Age | 44 Years,11 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65.3 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 28.078474 |
| Diagnosis | |||