Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13865 | Date 13/06/2024 |
| Token No | SM/25-26/7158 18/10/2025 | Serial | 023 Last Visit: 17/12/2025 |
| Patient Name | Mrs. LALITA SHAW | Contact No | 9432486623 |
| Address | 6 BAZAR BYE LANE SERAMPORE | Age | 55 Years,11 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69.1 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 30.711111 |
| Diagnosis | |||