Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15692 | Date 14/07/2025 |
| Token No | SM/25-26/3589 14/07/2025 | Serial | 071 Last Visit: 14/07/2025 |
| Patient Name | Mrs. MOUSUMI PAL | Contact No | 9062764025 |
| Address | 15D KUMOR PARA LANE SERAMPORE | Age | 25 Years,0 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.239 KG |
| Pulse Rate | / min | Height | 157.1 cm BMI: 24.002438 |
| Diagnosis | |||