Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15757 | Date 25/07/2025 |
| Token No | SM/25-26/4293 30/07/2025 | Serial | 058 Last Visit: 30/07/2025 |
| Patient Name | Mrs. RUMA BANERJEE | Contact No | 9831886552 |
| Address | 213F TELIPARA SERAMPORE, BAIDYABATI (M) | Age | 46 Years,6 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68.7 KG |
| Pulse Rate | / min | Height | 151.5 cm BMI: 29.931706 |
| Diagnosis | |||