Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00042 | Date 02/08/2018 |
| Token No | SM/25-26/15851 26/10/2026 at 11:11 | Serial | 030 Last Visit: 26/10/2026 |
| Patient Name | Mrs. TRIPTI BANERJEE | Contact No | 8981843522 |
| Address | 11, CHATRA CHOWDHURY PARA BYE LANE | Age | 73 Years,9 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 147.2 cm BMI: 25.383241 |
| Diagnosis | |||