Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12099 | Date 18/05/2023 |
| Token No | SM/25-26/6728 08/10/2025 | Serial | 027 Last Visit: 08/12/2025 |
| Patient Name | Mrs. MALATI PAL | Contact No | 9830048752 |
| Address | 8B KUMAR PARA LANE SERAMPORE | Age | 69 Years,11 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 86.8 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 38.577778 |
| Diagnosis | |||