Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12204 | Date 06/07/2023 |
| Token No | SM/22-23/22643 06/07/2023 | Serial | 019 Last Visit: 13/12/2025 |
| Patient Name | Mrs. SHIPRA DAS | Contact No | 9735197037 |
| Address | 7 CHOWDHURY PARA LANE SERAMPORE | Age | 62 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.1 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 26.456061 |
| Diagnosis | |||