Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09492 | Date 19/04/2021 |
| Token No | SM/25-26/15859 26/10/2026 at 11:42 | Serial | 038 Last Visit: 26/10/2026 |
| Patient Name | Mrs. SIPRA DAS | Contact No | 8420794148 |
| Address | 40/C BARA BAGAN LANE SERAMPORE | Age | 76 Years,2 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 168/90 mmHg | Weight | 44.5 KG |
| Pulse Rate | / min | Height | 147 cm BMI: 20.593271 |
| Diagnosis | |||