Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13180 | Date 02/02/2024 |
| Token No | SM/25-26/8001 15/11/2025 | Serial | 008 Last Visit: 15/11/2025 |
| Patient Name | Mrs. MAYA DAS | Contact No | 9339372576 |
| Address | 10/C/A RAMKRISHNA ROAD BYE LANE SERAMPORE | Age | 71 Years,10 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 23.962052 |
| Diagnosis | |||