Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11198 | Date 27/06/2022 |
| Token No | SM/22-23/14067 27/06/2022 | Serial | 034 Last Visit: 07/08/2025 |
| Patient Name | Mrs. ANITA SHAW | Contact No | 6289048785 |
| Address | 18 LALBAHADUR SHASTRI SARANI SERAMPORE | Age | 39 Years,6 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 31.766982 |
| Diagnosis | |||