Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15690 | Date 14/07/2025 |
| Token No | SM/25-26/3539 14/07/2025 | Serial | 021 Last Visit: 14/07/2025 |
| Patient Name | Mrs. DEBASHRI SAHA | Contact No | 9330525976 |
| Address | 16 MUSALMAN PARA SERAMPORE | Age | 35 Years,7 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | 153.9 cm BMI: 24.910060 |
| Diagnosis | |||