Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04859 | Date 23/04/2019 |
| Token No | SM/25-26/1070 06/05/2025 | Serial | 013 Last Visit: 12/11/2025 |
| Patient Name | Mrs. JAYA GANGULI | Contact No | 9831673862 |
| Address | 29 K /1 LIBARARY LANE SERAMPORE | Age | 62 Years,8 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 159/91 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | 151.5 cm BMI: 22.220044 |
| Diagnosis | |||