Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14220 | Date 03/09/2024 |
| Token No | SM/25-26/6792 09/10/2025 | Serial | 052 Last Visit: 13/12/2025 |
| Patient Name | Mrs. MALABIKA DAS | Contact No | |
| Address | 125 A P GHOSH ROAD SERAMPORE | Age | 67 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46.8 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 20.256233 |
| Diagnosis | |||