Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03699 | Date 19/02/2019 |
| Token No | SM/25-26/2542 14/06/2025 | Serial | 033 Last Visit: 18/10/2025 |
| Patient Name | Mrs. DIPTI SAMANTA | Contact No | 9903134834 |
| Address | 101 NETAJI SUBHASH AVENEU, SERAMPORE | Age | 47 Years,9 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 123/73 mmHg | Weight | 68.2 KG |
| Pulse Rate | / min | Height | 157.5 cm BMI: 27.493071 |
| Diagnosis | |||