Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 17013 | Date 25/07/2026 |
| Token No | SM/25-26/14433 27/08/2026 at 11:07 | Serial | 051 Last Visit: 27/08/2026 |
| Patient Name | Mrs. TRISHA GUHA DAS | Contact No | 8116445351 |
| Address | 30 DR G C GOSWAMI STREET SERAMPORE | Age | 37 Years,7 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | 163 cm BMI: 30.110279 |
| Diagnosis | |||