Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 17365 | Date 28/10/2026 |
| Token No | SM/25-26/15918 28/10/2026 at 11:40 | Serial | 034 Last Visit: |
| Patient Name | Mrs. SUSHAMA BISWAS | Contact No | 8918335843 |
| Address | 17/1 RAJA K L GOSWAMI STREET SERAMPORE | Age | 35 Years,5 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | 156.5 cm BMI: 35.113148 |
| Diagnosis | |||