Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14714 | Date 27/12/2024 |
| Token No | SM/25-26/6801 09/10/2025 | Serial | 061 Last Visit: 21/11/2025 |
| Patient Name | Mrs. PURNIMA BORAL | Contact No | 9330182057 |
| Address | 13 BENIA PARA LANE SERAMPORE | Age | 54 Years,10 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.5 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 24.881300 |
| Diagnosis | |||