Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 16265 | Date 13/11/2025 |
| Token No | SM/25-26/7928 13/11/2025 | Serial | 017 Last Visit: 18/12/2025 |
| Patient Name | Mrs. PRIYANKA KUMARI | Contact No | 8582889726 |
| Address | 30 K M BHATTCHARYA STREET SERAMPORE | Age | 18 Years,8 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 156.5 cm BMI: 22.864375 |
| Diagnosis | |||