Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 15268 | Date 07/05/2025 |
| Token No | SM/25-26/1136 08/05/2025 | Serial | 037 Last Visit: 27/08/2025 |
| Patient Name | Mrs. JULI SHAW | Contact No | 6289291708 |
| Address | 36 LBS ROAD SERAMPORE | Age | 27 Years,6 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.8 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 25.188164 |
| Diagnosis | |||