Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 16151 | Date 09/10/2025 |
| Token No | SM/25-26/6793 09/10/2025 | Serial | 053 Last Visit: 01/11/2025 |
| Patient Name | Mrs. MIRA DEVI | Contact No | 9163732991 |
| Address | 18 DHARMOTALA LANE SERAMPORE | Age | 43 Years,9 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.7 KG |
| Pulse Rate | / min | Height | 141 cm BMI: 22.986771 |
| Diagnosis | |||