Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06738 | Date 23/10/2019 |
| Token No | SM/24-25/37989 05/10/2024 | Serial | 019 Last Visit: 25/10/2025 |
| Patient Name | Mrs. SOMA DAS | Contact No | 6289567545 |
| Address | 3/C GHOSH PARA 1 ST LANE CHATRA SERAMPORE | Age | 42 Years,7 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57.3 KG |
| Pulse Rate | / min | Height | 148.7 cm BMI: 25.913894 |
| Diagnosis | |||