Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15790 | Date 30/07/2025 |
| Token No | SM/25-26/4339 31/07/2025 | Serial | 021 Last Visit: 04/09/2025 |
| Patient Name | Mrs. DIPA ADHIKARY | Contact No | 9674365097 |
| Address | 39/C, KUMIR JALA ROAD,SERAMPORE | Age | 34 Years,1 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.9 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 23.683663 |
| Diagnosis | |||