Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14078 | Date 24/07/2024 |
| Token No | SM/25-26/3307 07/07/2025 | Serial | 052 Last Visit: 07/07/2025 |
| Patient Name | Miss RAJASHREE DAS | Contact No | 6290848368 |
| Address | 18/A A P GHOSH ROAD CHATRA SERAMPORE | Age | 22 Years,8 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 109/71 mmHg | Weight | 34.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||