Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12708 | Date 04/11/2023 |
| Token No | SM/24-25/40151 02/12/2024 | Serial | 012 Last Visit: 26/11/2025 |
| Patient Name | Mrs. PRATIMA POLLE | Contact No | 9331906106 |
| Address | 17/A CHAKRABORTY LANE SERAMPORE | Age | 53 Years,4 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/91 mmHg | Weight | 52.6 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 24.013879 |
| Diagnosis | |||