Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08251 | Date 14/05/2020 |
| Token No | SM/25-26/5205 25/08/2025 | Serial | 020 Last Visit: 21/11/2025 |
| Patient Name | Mrs. MANJULA PAL | Contact No | 9051045259 |
| Address | 37 KUMOR PARA LANE SERAMPORE | Age | 62 Years,10 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.7 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 19.780125 |
| Diagnosis | |||