Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07550 | Date 15/02/2020 |
| Token No | SM/25-26/14473 29/08/2026 at 10:26 | Serial | 012 Last Visit: 25/07/2026 |
| Patient Name | Mrs. SOMA BANERJEE | Contact No | 8420360731 |
| Address | 16 DHARMOTALA LANE CHATRA , SERAMPORE | Age | 58 Years,7 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 112/70 mmHg | Weight | 56.3 KG |
| Pulse Rate | / min | Height | 144 cm BMI: 27.150849 |
| Diagnosis | |||