Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14068 | Date 24/07/2024 |
| Token No | SM/25-26/5199 25/08/2025 | Serial | 014 Last Visit: 27/11/2025 |
| Patient Name | Mrs. JAYA GHOSH | Contact No | 9143298928 |
| Address | 52/53/B BARA BAGAN LANE SERAMPORE | Age | 59 Years,10 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 69.4 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 31.259853 |
| Diagnosis | |||