Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16170 | Date 13/10/2025 |
| Token No | SM/25-26/6969 13/10/2025 | Serial | 056 Last Visit: 13/11/2025 |
| Patient Name | Mrs. TUMPA SIL | Contact No | 8100553195 |
| Address | 16/B/8 BARABAGAN LANE SERAMPORE MALLICKPARA | Age | 29 Years,10 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | 155.5 cm BMI: 27.708564 |
| Diagnosis | |||