Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15952 | Date 28/08/2025 |
| Token No | SM/25-26/5377 28/08/2025 | Serial | 024 Last Visit: 28/08/2025 |
| Patient Name | Mrs. SWARNADIPA DHAR | Contact No | 7980806568 |
| Address | 7/D ARBINDA SARANI CHATRA SERAMPORE | Age | 28 Years,0 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68.3 KG |
| Pulse Rate | / min | Height | 153.5 cm BMI: 28.987045 |
| Diagnosis | |||