Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15990 | Date 04/09/2025 |
| Token No | SM/25-26/6748 09/10/2025 | Serial | 008 Last Visit: 18/12/2025 |
| Patient Name | Mrs. LAXMI GANGULI | Contact No | 8274935903 |
| Address | 2 BARA BAGAN LANE SERAMPORE | Age | 30 Years,11 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47.9 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 21.288889 |
| Diagnosis | |||