Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15988 | Date 04/09/2025 |
| Token No | SM/25-26/8322 27/11/2025 | Serial | 009 Last Visit: 27/11/2025 |
| Patient Name | Mrs. RIMMI SAMANTA | Contact No | 6290091517 |
| Address | 27/E DR BAGAN LANE SERAMPORE | Age | 37 Years,5 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.7 KG |
| Pulse Rate | / min | Height | 154.5 cm BMI: 25.010211 |
| Diagnosis | |||