Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01623 | Date 11/10/2018 |
| Token No | SM/25-26/542 19/04/2025 | Serial | 012 Last Visit: 17/11/2025 |
| Patient Name | Mrs. SHIBANI SOM | Contact No | 9874241930 |
| Address | 124/C CHATRA BARUI PARA, SERAMPORE | Age | 50 Years,10 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 79/54 mmHg | Weight | 36.7 KG |
| Pulse Rate | / min | Height | 145.5 cm BMI: 17.335648 |
| Diagnosis | |||