Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15962 | Date 30/08/2025 |
| Token No | SM/25-26/5448 30/08/2025 | Serial | 002 Last Visit: 16/10/2025 |
| Patient Name | Mrs. SARASWATI DAS | Contact No | 9836859682 |
| Address | 1 NO GOYALA PARA LANE , MAHAPRAVU MANDIR,SERAMPORE | Age | 33 Years,10 Months,13 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50.3 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 22.809464 |
| Diagnosis | |||