Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15932 | Date 25/08/2025 |
| Token No | SM/25-26/5320 27/08/2025 | Serial | 042 Last Visit: 27/08/2025 |
| Patient Name | Mrs. MANJU DAS | Contact No | 9830635607 |
| Address | 1 NO T C GOSWAMI STREET SERAMPORE | Age | 55 Years,7 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.4 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 25.066667 |
| Diagnosis | |||