Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16255 | Date 08/11/2025 |
| Token No | SM/25-26/7743 08/11/2025 | Serial | 025 Last Visit: 12/11/2025 |
| Patient Name | Mrs. RATI PAUL | Contact No | 9163403728 |
| Address | 15/C KUMOR PARA CHATRA SERAMPORE | Age | 64 Years,10 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 123/71 mmHg | Weight | 52 KG |
| Pulse Rate | 86 / min | Height | 147 cm BMI: 24.064047 |
| Diagnosis | |||