Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09070 | Date 18/12/2020 |
| Token No | SM/25-26/6261 18/09/2025 | Serial | 035 Last Visit: 18/09/2025 |
| Patient Name | Mrs. ARPITA DUTTA | Contact No | 9674666975 |
| Address | 55 NO CHATRA BARUIPARA LANE SERAMPORE | Age | 36 Years,4 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67.7 KG |
| Pulse Rate | / min | Height | 140.5 cm BMI: 34.295412 |
| Diagnosis | |||