Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15588 | Date 18/06/2025 |
| Token No | SM/25-26/2897 25/06/2025 | Serial | 013 Last Visit: 13/09/2025 |
| Patient Name | Mrs. PINKI ADHIKARY | Contact No | 9051731385 |
| Address | 27 CHATRA DHARMOTALA LANE SERAMPORE | Age | 36 Years,11 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.5 KG |
| Pulse Rate | / min | Height | 146.3 cm BMI: 27.798945 |
| Diagnosis | |||