Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13776 | Date 30/05/2024 |
| Token No | SM/25-26/4258 30/07/2025 | Serial | 023 Last Visit: 29/10/2025 |
| Patient Name | Mrs. SHANKARI PAL | Contact No | 9143628376 |
| Address | 67/F HARIDAS NURSERY BARO BAGAN SERAMPORE | Age | 51 Years,9 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.8 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 23.595456 |
| Diagnosis | |||