Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16003 | Date 06/09/2025 |
| Token No | SM/25-26/5763 06/09/2025 | Serial | 024 Last Visit: 06/09/2025 |
| Patient Name | Mrs. FALGUNI BEJ CHAKRABORTY | Contact No | 6294004587 |
| Address | JELEPARA,RUDRANI PURBA,HOOGHLY | Age | 28 Years,7 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||