Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 17077 | Date 08/08/2026 |
| Token No | SM/25-26/15896 28/10/2026 at 10:30 | Serial | 012 Last Visit: 25/09/2026 |
| Patient Name | Mrs. PRIYA BAR | Contact No | 7890840775 |
| Address | FL-01 85/7 G T ROAD WESTERN ENCLAVE NEAR ESI HOSPITAL SERAMPORE | Age | 32 Years,5 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 29.515939 |
| Diagnosis | |||