Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15846 | Date 05/08/2025 |
| Token No | SM/25-26/4955 18/08/2025 | Serial | 012 Last Visit: 01/09/2025 |
| Patient Name | Mrs. GOPA BANGAL | Contact No | 9088773176 |
| Address | 7/7 K C MUKHERJEE STREET SERAMPORE | Age | 68 Years,8 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 29.9 KG |
| Pulse Rate | / min | Height | 135 cm BMI: 16.406036 |
| Diagnosis | |||