Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12167 | Date 17/06/2023 |
| Token No | SM/24-25/41053 27/12/2024 | Serial | 044 Last Visit: 23/09/2025 |
| Patient Name | Mrs. BANANI ADAK | Contact No | 9123395332 |
| Address | 5/A/2 BARO BAGAN LANE SERAMPORE | Age | 41 Years,8 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72.7 KG |
| Pulse Rate | / min | Height | 155.6 cm BMI: 30.027227 |
| Diagnosis | |||