Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15714 | Date 19/07/2025 |
| Token No | SM/25-26/3814 19/07/2025 | Serial | 028 Last Visit: 19/07/2025 |
| Patient Name | Mrs. REBA DAS | Contact No | 9674158846 |
| Address | 30/D PNKB LANE CHATRA SERAMPORE | Age | 57 Years,1 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 131/74 mmHg | Weight | 52.4 KG |
| Pulse Rate | / min | Height | 154.5 cm BMI: 21.952011 |
| Diagnosis | |||