Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15340 | Date 22/05/2025 |
| Token No | SM/25-26/1618 22/05/2025 | Serial | 022 Last Visit: 22/05/2025 |
| Patient Name | Mrs. SONALI SOM | Contact No | 7003561627 |
| Address | 28 NO. K. K. MUKHERJEE SARANI CHATRA SERAMPORE | Age | 33 Years,2 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 30.780907 |
| Diagnosis | |||