Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15682 | Date 12/07/2025 |
| Token No | SM/25-26/3456 12/07/2025 | Serial | 011 Last Visit: 12/07/2025 |
| Patient Name | Mrs. MOUSUMI MUKHERJEE | Contact No | 6289615595 |
| Address | 142 RAMKRISHNA ROAD , BAIDYABATI (M) | Age | 47 Years,11 Months,15 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 146.5 cm BMI: 26.092325 |
| Diagnosis | |||