Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16034 | Date 11/09/2025 |
| Token No | SM/25-26/6019 11/09/2025 | Serial | 014 Last Visit: 11/09/2025 |
| Patient Name | Miss PRIYANKA BHATTACHARJEE | Contact No | 7439685896 |
| Address | 30/A/1 RAY M C LAHIRI BAHDUR STREET SERAMPORE | Age | 27 Years,4 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||