Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14919 | Date 30/01/2025 |
| Token No | SM/24-25/42262 30/01/2025 | Serial | 003 Last Visit: 17/12/2025 |
| Patient Name | Mrs. CHANDRABATI DALUI | Contact No | 8017901917 |
| Address | 13 N N ROY STREET SERAMPORE | Age | 65 Years,11 Months,15 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59.4 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 26.400000 |
| Diagnosis | |||