Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15685 | Date 12/07/2025 |
| Token No | SM/25-26/3504 12/07/2025 | Serial | 059 Last Visit: 06/12/2025 |
| Patient Name | Mrs. JHUMA DAS | Contact No | 9051675163 |
| Address | 18/A A P GHOSH ROAD SERAMPORE | Age | 45 Years,0 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 115/74 mmHg | Weight | 90.3 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 39.867110 |
| Diagnosis | |||