Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15631 | Date 30/06/2025 |
| Token No | SM/25-26/3074 30/06/2025 | Serial | 030 Last Visit: 16/10/2025 |
| Patient Name | Mrs. CHAMPA BISWAS | Contact No | 6297582214 |
| Address | 16 RAJA K L GOSWAMI STREET, SERAMPORE | Age | 25 Years,2 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.7 KG |
| Pulse Rate | / min | Height | 156.5 cm BMI: 22.741888 |
| Diagnosis | |||