Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 17190 | Date 27/08/2026 |
| Token No | SM/25-26/14394 27/08/2026 at 10:21 | Serial | 012 Last Visit: 27/08/2026 |
| Patient Name | Mrs. KAKALI HAZRA | Contact No | 9330219061 |
| Address | 6 CHAKRABORTY LANE SERAMPORE | Age | 47 Years,7 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 144.5 cm BMI: 31.129895 |
| Diagnosis | |||