Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 14116 | Date 31/07/2024 |
| Token No | SM/25-26/3862 19/07/2025 | Serial | 076 Last Visit: 22/07/2025 |
| Patient Name | Mrs. MIRA SAMANTO | Contact No | 9830692595 |
| Address | 48 BOISHNAB PARA 2ND LANE SERAMPORE | Age | 71 Years,6 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57.5 KG |
| Pulse Rate | / min | Height | 153.5 cm BMI: 24.403442 |
| Diagnosis | |||