Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 16036 | Date 11/09/2025 |
| Token No | SM/25-26/8302 26/11/2025 | Serial | 036 Last Visit: 26/11/2025 |
| Patient Name | Mrs. SUPTA BURMAN | Contact No | 9432420448 |
| Address | FLAT -101, 41 MUKHERJEE PARA LANE SERAMPORE | Age | 68 Years,1 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.4 KG |
| Pulse Rate | / min | Height | 158.5 cm BMI: 21.654111 |
| Diagnosis | |||