Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09331 | Date 16/03/2021 |
| Token No | SM/25-26/4905 14/08/2025 | Serial | 033 Last Visit: 14/08/2025 |
| Patient Name | Mrs. RITA MALICK | Contact No | 8768230739 |
| Address | 33 BARABAGAN LANE SERAMPORE MALLICK PARA | Age | 46 Years,7 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 123/87 mmHg | Weight | 60.4 KG |
| Pulse Rate | / min | Height | 146.5 cm BMI: 28.142436 |
| Diagnosis | |||