Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15088 | Date 06/03/2025 |
| Token No | SM/25-26/19 02/04/2025 | Serial | 003 Last Visit: 30/08/2025 |
| Patient Name | Mrs. PRITY PAIKARA | Contact No | 8653563298 |
| Address | 60 BAHIR SERAMPORE | Age | 23 Years,3 Months,23 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 42.2 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 19.396725 |
| Diagnosis | |||