Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09336 | Date 17/03/2021 |
| Token No | SM/25-26/7330 28/10/2025 | Serial | 013 Last Visit: 26/11/2025 |
| Patient Name | Mrs. ASHA DAS | Contact No | 9681931323 |
| Address | 20/D BARA BAGAN LANE,SERAMPORE | Age | 67 Years,10 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 164/84 mmHg | Weight | 54.1 KG |
| Pulse Rate | 87 / min | Height | 151 cm BMI: 23.727030 |
| Diagnosis | |||