Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15161 | Date 22/03/2025 |
| Token No | SM/25-26/1780 26/05/2025 | Serial | 030 Last Visit: 27/08/2025 |
| Patient Name | Mrs. SUSHMA SHAW | Contact No | 6291470065 |
| Address | 30 BAZAR BYE LANE SERAMPORE | Age | 33 Years,6 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 26.753213 |
| Diagnosis | |||