Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10007 | Date 31/08/2021 |
| Token No | SM/25-26/4714 09/08/2025 | Serial | 017 Last Visit: 09/08/2025 |
| Patient Name | Mrs. KALPANA RUI DAS | Contact No | |
| Address | NABIN CHAKRABORTY LANE SERAMPORE | Age | 39 Years,8 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 132/73 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 146 cm BMI: 23.456558 |
| Diagnosis | |||