Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 15650 | Date 03/07/2025 |
| Token No | SM/25-26/3190 03/07/2025 | Serial | 027 Last Visit: 03/07/2025 |
| Patient Name | Miss BHASWATI CHAKRABORTY | Contact No | 8420797639 |
| Address | 6/36 BAISHNABPRA FIRST LANE,MAHESH | Age | 20 Years,6 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||