Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15283 | Date 12/05/2025 |
| Token No | SM/25-26/1267 12/05/2025 | Serial | 012 Last Visit: 16/06/2025 |
| Patient Name | Mrs. PRATIKSHA ASH | Contact No | 8697926151 |
| Address | JAGANATH VILLA FLAT NO-501, 15/B RAJA K L GOSWAMI STREET SERAMPORE | Age | 26 Years,7 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 92.9 KG |
| Pulse Rate | / min | Height | 153.5 cm BMI: 39.427474 |
| Diagnosis | |||