Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15092 | Date 06/03/2025 |
| Token No | SM/25-26/3992 23/07/2025 | Serial | 022 Last Visit: 29/08/2025 |
| Patient Name | Mrs. SOMA DAS | Contact No | 8902479437 |
| Address | 3/B GHOSH PARA 2ND LANE CHATRA SERAMPORE | Age | 50 Years,1 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73.7 KG |
| Pulse Rate | / min | Height | 152.4 cm BMI: 31.732008 |
| Diagnosis | |||