Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15053 | Date 24/02/2025 |
| Token No | SM/25-26/6456 24/09/2025 | Serial | 019 Last Visit: 27/11/2025 |
| Patient Name | Mrs. MAYA GHOSH | Contact No | 9433216111 |
| Address | 30 NO GHOSH PARA 1ST LANE SERAMPORE | Age | 76 Years,10 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 122/75 mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | 145 cm BMI: 18.549346 |
| Diagnosis | |||