Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15788 | Date 30/07/2025 |
| Token No | SM/25-26/4236 30/07/2025 | Serial | 001 Last Visit: 29/10/2025 |
| Patient Name | Mrs. MOUMITA HARI | Contact No | 7003375703 |
| Address | 4 BESHOYA HATA LANE,SERAMPORE | Age | 27 Years,5 Months,23 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 77.8 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 33.235081 |
| Diagnosis | |||