Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 15331 | Date 21/05/2025 |
| Token No | SM/25-26/1556 21/05/2025 | Serial | 016 Last Visit: 23/05/2025 |
| Patient Name | Miss DEBAPRIYA DAS | Contact No | 8100510494 |
| Address | 164 MAHESH COLONI MAHESH SERAMPORE | Age | 19 Years,11 Months,2 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||