Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12507 | Date 23/09/2023 |
| Token No | SM/25-26/8310 26/11/2025 | Serial | 044 Last Visit: 27/11/2025 |
| Patient Name | Mrs. MITHU MITRA | Contact No | 9330409800 |
| Address | 16/E/2 RAJA K L GOSWAMI STREET SERAMPORE | Age | 50 Years,10 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.6 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 23.477560 |
| Diagnosis | |||