Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15310 | Date 16/05/2025 |
| Token No | SM/25-26/4686 08/08/2025 | Serial | 033 Last Visit: 27/11/2025 |
| Patient Name | Mrs. MAYA DAS | Contact No | 9883286678 |
| Address | 16 P N CHAKRABORTY LANE CHATRA SERAMPORE | Age | 61 Years,10 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41.7 KG |
| Pulse Rate | / min | Height | 151.5 cm BMI: 18.168153 |
| Diagnosis | |||