Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16299 | Date 20/11/2025 |
| Token No | SM/25-26/8172 20/11/2025 | Serial | 017 Last Visit: 20/11/2025 |
| Patient Name | Miss SOUMILI GHOSH | Contact No | |
| Address | SERAMPORE | Age | 25 Years,0 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||