Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16306 | Date 21/11/2025 |
| Token No | SM/25-26/8196 21/11/2025 | Serial | 014 Last Visit: 21/11/2025 |
| Patient Name | Mrs. SANDHYA POREL | Contact No | 9007457540 |
| Address | 4/A DUTTA PARA LANE SERAMPORE | Age | 56 Years,10 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 161/90 mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | 137 cm BMI: 22.910118 |
| Diagnosis | |||