Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 17258 | Date 12/09/2026 |
| Token No | SM/25-26/15895 28/10/2026 at 10:25 | Serial | 011 Last Visit: 25/09/2026 |
| Patient Name | Mrs. PUSPA KUMARI | Contact No | 6290349809 |
| Address | 1 NO MUSALMAN PARA ROAD SERAMPORE | Age | 23 Years,6 Months,13 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 145.4 cm BMI: 18.920438 |
| Diagnosis | |||