Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11281 | Date 16/07/2022 |
| Token No | SM/25-26/7552 03/11/2025 | Serial | 054 Last Visit: 03/11/2025 |
| Patient Name | Mrs. MONALISA HAZRA | Contact No | 8017001119 |
| Address | SERAMPORE, KUMIR JOLA ROAD | Age | 34 Years,10 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.8 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 24.850072 |
| Diagnosis | |||