Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 15613 | Date 25/06/2025 |
| Token No | SM/25-26/2899 25/06/2025 | Serial | 015 Last Visit: 28/06/2025 |
| Patient Name | Mrs. SANDHYA SHAW | Contact No | 9432982289 |
| Address | 50 K.M. BHATTACHARYA STREET | Age | 60 Years,5 Months,25 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45.4 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 20.312972 |
| Diagnosis | |||