Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15306 | Date 15/05/2025 |
| Token No | SM/25-26/2713 19/06/2025 | Serial | 002 Last Visit: 19/06/2025 |
| Patient Name | Mrs. SURAPA CHATTERJEE | Contact No | 8617280087 |
| Address | 5/A DHARMOTALA LANE SERAMPORE | Age | 27 Years,11 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70.1 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 30.744266 |
| Diagnosis | |||