Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16114 | Date 26/09/2025 |
| Token No | SM/25-26/6611 26/09/2025 | Serial | 040 Last Visit: 26/09/2025 |
| Patient Name | Mrs. MONALISHA SIL | Contact No | 9775336411 |
| Address | 18 BENIYA PARA SERAMPORE | Age | 35 Years,8 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 118/74 mmHg | Weight | 85.9 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 38.177778 |
| Diagnosis | |||