Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12243 | Date 15/07/2023 |
| Token No | SM/25-26/5235 25/08/2025 | Serial | 050 Last Visit: 25/08/2025 |
| Patient Name | Mrs. GEETASHREE KOLEY | Contact No | 9477679396 |
| Address | 12 S C CHATTOPADHYAY SARANI SERAMPORE | Age | 36 Years,7 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 53.1 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 23.443450 |
| Diagnosis | |||