Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15694 | Date 14/07/2025 |
| Token No | SM/25-26/3593 14/07/2025 | Serial | 075 Last Visit: 14/07/2025 |
| Patient Name | Mrs. ANANYA PAL | Contact No | 9674358037 |
| Address | 30/C KUMOR PARA LANE | Age | 20 Years,10 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 96 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 42.103417 |
| Diagnosis | |||