Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 15638 | Date 02/07/2025 |
| Token No | SM/25-26/3115 02/07/2025 | Serial | 026 Last Visit: 13/08/2025 |
| Patient Name | Miss RANI DAS | Contact No | 8276969053 |
| Address | 42/B BARA BAGAN LANE SERAMPORE | Age | 18 Years,0 Months,19 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 43.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||