Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16091 | Date 25/09/2025 |
| Token No | SM/25-26/6661 04/10/2025 | Serial | 006 Last Visit: 06/11/2025 |
| Patient Name | Mrs. PUJA MALLIK | Contact No | 9955886233 |
| Address | BAHIR SERAMPORE | Age | 27 Years,1 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 153.1 cm BMI: 19.198272 |
| Diagnosis | |||