Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15198 | Date 07/04/2025 |
| Token No | SM/25-26/176 07/04/2025 | Serial | 004 Last Visit: 24/07/2025 |
| Patient Name | Mrs. PUJA SETH | Contact No | 8240828090 |
| Address | 17/A DOCTOR BAGAN LANE | Age | 26 Years,2 Months,26 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 66.7 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 32.617732 |
| Diagnosis | |||