Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14856 | Date 20/01/2025 |
| Token No | SM/25-26/8374 28/11/2025 | Serial | 012 Last Visit: 28/11/2025 |
| Patient Name | Miss RIYANKA PAUL | Contact No | 7890542488 |
| Address | 29 NO KUMOR PARA LANE CHATRA SERAMPORE | Age | 27 Years,9 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.9 KG |
| Pulse Rate | / min | Height | 161.5 cm BMI: 17.598175 |
| Diagnosis | |||