Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15678 | Date 11/07/2025 |
| Token No | SM/25-26/3430 11/07/2025 | Serial | 055 Last Visit: 11/07/2025 |
| Patient Name | Mrs. RUBI DAS | Contact No | 8584913585 |
| Address | 15 P N MUKHERJEE STREET CHATRA SERAMPORE | Age | 52 Years,6 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 122/70 mmHg | Weight | 66.7 KG |
| Pulse Rate | / min | Height | 136 cm BMI: 36.061851 |
| Diagnosis | |||