Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15716 | Date 19/07/2025 |
| Token No | SM/25-26/3827 19/07/2025 | Serial | 041 Last Visit: 19/07/2025 |
| Patient Name | Mrs. SIKHA DAS | Contact No | 9433189887 |
| Address | 30 P N K B LANE CHATRA SERAMPORE | Age | 49 Years,10 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 121/60 mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | 157 cm BMI: 22.921822 |
| Diagnosis | |||