Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 17363 | Date 28/10/2026 |
| Token No | SM/25-26/15904 28/10/2026 at 10:53 | Serial | 020 Last Visit: |
| Patient Name | Mrs. ARPITA DAS | Contact No | 9051224612 |
| Address | 24 CHAKRABORTY LANE SERAMPORE | Age | 25 Years,4 Months,18 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 26.931270 |
| Diagnosis | |||