Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15666 | Date 07/07/2025 |
| Token No | SM/25-26/7795 10/11/2025 | Serial | 015 Last Visit: 10/11/2025 |
| Patient Name | Mrs. MAMATA AGARWAL | Contact No | 6289496149 |
| Address | 7 T.P BHATTACHARJEE STREET | Age | 26 Years,10 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.6 KG |
| Pulse Rate | / min | Height | 159.5 cm BMI: 22.248209 |
| Diagnosis | |||