Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16150 | Date 09/10/2025 |
| Token No | SM/25-26/7834 10/11/2025 | Serial | 054 Last Visit: 18/12/2025 |
| Patient Name | Mrs. JOYEETA DAS | Contact No | 9123015352 |
| Address | 29, DR G C GOSWAMI STREET SERAMPORE | Age | 22 Years,4 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.8 KG |
| Pulse Rate | / min | Height | 155.5 cm BMI: 23.490245 |
| Diagnosis | |||