Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04040 | Date 06/03/2019 |
| Token No | SM/24-25/43832 12/03/2025 | Serial | 015 Last Visit: 29/11/2025 |
| Patient Name | Mrs. DURGA KOLEY | Contact No | 8481031180 |
| Address | 65/A/4 S.C.C. SARANI(BAHIR SERAMPORE) | Age | 50 Years,10 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.9 KG |
| Pulse Rate | / min | Height | 152.7 cm BMI: 25.689092 |
| Diagnosis | |||