Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11259 | Date 12/07/2022 |
| Token No | SM/25-26/14449 27/08/2026 at 12:33 | Serial | 067 Last Visit: 27/08/2026 |
| Patient Name | Mrs. PURNIMA DAS | Contact No | 7605837305 |
| Address | 44 CHATRA DUTTA PARA LANE SERAMPORE BAIDYABATI(M) | Age | 37 Years,7 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 109/67 mmHg | Weight | 65.5 KG |
| Pulse Rate | / min | Height | 149.7 cm BMI: 29.227906 |
| Diagnosis | |||