Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09050 | Date 14/12/2020 |
| Token No | SM/25-26/3875 21/07/2025 | Serial | 005 Last Visit: 13/11/2025 |
| Patient Name | Mrs. PIYALI PATRA | Contact No | 6291091976 |
| Address | 19 RAJA K L GOSWAMI STREET SERAMPORE | Age | 36 Years,10 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | 156.2 cm BMI: 32.788982 |
| Diagnosis | |||