Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15901 | Date 14/08/2025 |
| Token No | SM/25-26/4915 14/08/2025 | Serial | 043 Last Visit: 14/08/2025 |
| Patient Name | Mrs. NANDITA GHOSH DAS | Contact No | 8583886503 |
| Address | 15 P N CHAKRABORTY LANE SERAMPORE | Age | 37 Years,5 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 111/70 mmHg | Weight | 70.7 KG |
| Pulse Rate | / min | Height | 159 cm BMI: 27.965666 |
| Diagnosis | |||