Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 15307 | Date 15/05/2025 |
| Token No | SM/25-26/1338 15/05/2025 | Serial | 011 Last Visit: 28/08/2025 |
| Patient Name | Mrs. PUJA DHANUK | Contact No | 9062421947 |
| Address | 4/A CHANDRA MOHON ROY LANE SERAMPORE | Age | 34 Years,5 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41.5 KG |
| Pulse Rate | / min | Height | 156.5 cm BMI: 16.944135 |
| Diagnosis | |||