Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15711 | Date 19/07/2025 |
| Token No | SM/25-26/5226 25/08/2025 | Serial | 041 Last Visit: 25/08/2025 |
| Patient Name | Mrs. SHAISTA PARWEEN | Contact No | 8420703934 |
| Address | 15 T C GOSWAMI STREET,SERAMPORE | Age | 30 Years,6 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68.2 KG |
| Pulse Rate | / min | Height | 151.5 cm BMI: 29.713862 |
| Diagnosis | |||