Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15744 | Date 23/07/2025 |
| Token No | SM/25-26/15878 26/10/2026 at 14:12 | Serial | 057 Last Visit: 26/10/2026 |
| Patient Name | Mrs. KAKALI PAL | Contact No | 9830048752 |
| Address | 8B KUMOR PARA LANE CHATRA SERAMPORE | Age | 35 Years,7 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62.1 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 28.350986 |
| Diagnosis | |||