Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 12496 | Date 20/09/2023 |
| Token No | SM/25-26/4932 16/08/2025 | Serial | 007 Last Visit: 08/12/2025 |
| Patient Name | Mrs. MOUSUMI GUIN | Contact No | 8910299198 |
| Address | 637 G T ROAD KALITALA SERAMPORE | Age | 42 Years,9 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 122/73 mmHg | Weight | 58.2 KG |
| Pulse Rate | / min | Height | 154.5 cm BMI: 24.381814 |
| Diagnosis | |||