Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15838 | Date 04/08/2025 |
| Token No | SM/25-26/4496 04/08/2025 | Serial | 028 Last Visit: 06/11/2025 |
| Patient Name | Mrs. MOUSUMI BASU | Contact No | 8910962859 |
| Address | 35 BENIAPARA LANE SERAMPORE | Age | 28 Years,8 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.1 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 25.269132 |
| Diagnosis | |||