Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16383 | Date 31/12/2025 |
| Token No | SM/25-26/8984 31/12/2025 | Serial | 004 Last Visit: 31/12/2025 |
| Patient Name | Mrs. BAISAKHI BHATTACHARYYA | Contact No | |
| Address | 51/C/6 BARABAGAN LANE SERAMPORE | Age | 37 Years,8 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | 163.5 cm BMI: 29.926400 |
| Diagnosis | |||