Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16459 | Date 19/02/2026 |
| Token No | SM/25-26/9767 02/03/2026 at 10:24 | Serial | 002 Last Visit: 26/02/2026 |
| Patient Name | Mrs. LABANI POLLEY | Contact No | 7596927783 |
| Address | 86/2 G T ROAD PRERONA RESIDENCY 1ST FLOOR SERAMPORE HOOGHLY | Age | 30 Years,9 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 27.343750 |
| Diagnosis | |||