Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00119 | Date 04/08/2018 |
| Token No | SM/25-26/14444 27/08/2026 at 11:47 | Serial | 062 Last Visit: 27/08/2026 |
| Patient Name | Mrs. PURABI ROY | Contact No | 8336836739 |
| Address | 19 RAJA K.L. GOSWAMI STREET, SERAMPORE | Age | 64 Years,7 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 126/86 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 162 cm BMI: 26.672763 |
| Diagnosis | |||