Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15935 | Date 25/08/2025 |
| Token No | SM/25-26/5250 25/08/2025 | Serial | 065 Last Visit: 03/09/2025 |
| Patient Name | Mrs. LAKSHMI RUIDAS | Contact No | 9051938505 |
| Address | 23/3 HARIJAN ROAD SERAMPORE , BAIDYABATI (M) | Age | 44 Years,8 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52.5 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 23.333333 |
| Diagnosis | |||