Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15256 | Date 03/05/2025 |
| Token No | SM/25-26/8330 27/11/2025 | Serial | 017 Last Visit: 27/11/2025 |
| Patient Name | Miss GURIYA KUMARI | Contact No | 9831310175 |
| Address | 13 DR P N MUKHERJEE STREET SERAMPORE | Age | 20 Years,5 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||