Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14981 | Date 08/02/2025 |
| Token No | SM/25-26/5647 03/09/2025 | Serial | 036 Last Visit: 28/11/2025 |
| Patient Name | Mrs. MOUMITA DAS SAHA | Contact No | 8240419844 |
| Address | 42 BARABAGAN SERAMPORE | Age | 39 Years,10 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 153.5 cm BMI: 25.888869 |
| Diagnosis | |||