Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15691 | Date 14/07/2025 |
| Token No | SM/25-26/3559 14/07/2025 | Serial | 041 Last Visit: 27/08/2025 |
| Patient Name | Mrs. MAMTA DEVI | Contact No | 8090313264 |
| Address | 12 T P BHATTCHARYA STREET SERAMPORE | Age | 31 Years,11 Months,0 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65.6 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 28.023410 |
| Diagnosis | |||