Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 16209 | Date 29/10/2025 |
| Token No | SM/25-26/7353 29/10/2025 | Serial | 001 Last Visit: 01/12/2025 |
| Patient Name | Mrs. SHALU RAY | Contact No | 9123824307 |
| Address | 15 DHARMATALA LANE,RAMKRISHNA APARTMENT,SERAMPORE-712201 | Age | 22 Years,4 Months,17 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 25.299376 |
| Diagnosis | |||