Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15200 | Date 07/04/2025 |
| Token No | SM/25-26/5888 09/09/2025 | Serial | 001 Last Visit: 10/09/2025 |
| Patient Name | Mrs. PYALI PRADHAN | Contact No | 9903438744 |
| Address | 78/79/A G T ROAD SERAMPORE | Age | 41 Years,8 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64.3 KG |
| Pulse Rate | / min | Height | 155.5 cm BMI: 26.591950 |
| Diagnosis | |||