Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14545 | Date 16/11/2024 |
| Token No | SM/25-26/2862 23/06/2025 | Serial | 024 Last Visit: 17/12/2025 |
| Patient Name | Mrs. SUPARNA PAUL | Contact No | 6289510270 |
| Address | 30 NO KUMOR PARA LANE CHATRA SERAMPORE | Age | 56 Years,5 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.3 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 24.789993 |
| Diagnosis | |||