Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09913 | Date 05/08/2021 |
| Token No | SM/25-26/14472 29/08/2026 at 10:26 | Serial | 011 Last Visit: 22/08/2026 |
| Patient Name | Mrs. JYOTSNA PAL | Contact No | 9836666931 |
| Address | 36 NO KUMAR PARA LANE CHATRA SERAMPORE | Age | 58 Years,7 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | 142.5 cm BMI: 34.964604 |
| Diagnosis | |||