Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16074 | Date 18/09/2025 |
| Token No | SM/25-26/6266 18/09/2025 | Serial | 040 Last Visit: 04/12/2025 |
| Patient Name | Mrs. SANDHYA MAJUMDER | Contact No | 8282859707 |
| Address | 131 BARUI PARA LANE SERAMPORE | Age | 61 Years,11 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74.2 KG |
| Pulse Rate | / min | Height | 146 cm BMI: 34.809533 |
| Diagnosis | |||