Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15663 | Date 07/07/2025 |
| Token No | SM/25-26/3256 07/07/2025 | Serial | 001 Last Visit: 13/11/2025 |
| Patient Name | Mrs. JHUMPA PAL | Contact No | 8910184119 |
| Address | 49/B K.K MUKHERJEE SARANI,SERAMPORE | Age | 29 Years,5 Months,3 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 71.6 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 27.968750 |
| Diagnosis | |||