Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11561 | Date 12/09/2022 |
| Token No | SM/25-26/8328 27/11/2025 | Serial | 015 Last Visit: 06/12/2025 |
| Patient Name | Miss ATASI GHOSH | Contact No | 9433897098 |
| Address | 9/A/1 VIVEKANAND LANE SERAMPORE | Age | 21 Years,6 Months,7 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 139/98 mmHg | Weight | 55.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||