Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15220 | Date 17/04/2025 |
| Token No | SM/25-26/522 17/04/2025 | Serial | 037 Last Visit: 19/05/2025 |
| Patient Name | Mrs. MADHABI DAS | Contact No | 6291673938 |
| Address | 9 P N CHAKRABORTY LANE CHATRA SERAMPORE | Age | 33 Years,5 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69.8 KG |
| Pulse Rate | / min | Height | 154.5 cm BMI: 29.241420 |
| Diagnosis | |||