Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16154 | Date 10/10/2025 |
| Token No | SM/25-26/6813 10/10/2025 | Serial | 004 Last Visit: 13/12/2025 |
| Patient Name | Mrs. SANDHYA DAS | Contact No | 9830535428 |
| Address | 13/A S C CHATTERJEE SARANI SERAMPORE | Age | 59 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 180/90 mmHg | Weight | 32.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||