Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15258 | Date 03/05/2025 |
| Token No | SM/25-26/2155 05/06/2025 | Serial | 016 Last Visit: 05/06/2025 |
| Patient Name | Mrs. ADITI POREL | Contact No | 9635975665 |
| Address | 27/A/1 KUMIR JALA ROAD SERAMPORE | Age | 30 Years,2 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | 167 cm BMI: 30.836531 |
| Diagnosis | |||