Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12747 | Date 23/11/2023 |
| Token No | SM/22-23/26365 23/11/2023 | Serial | 004 Last Visit: 05/12/2025 |
| Patient Name | Mrs. DALIA DAKSHI | Contact No | 9874122659 |
| Address | 61/A BARUI PARA LANE SERAMPORE | Age | 35 Years,8 Months,5 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 61.5 KG |
| Pulse Rate | / min | Height | 156 cm BMI: 25.271203 |
| Diagnosis | |||