Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 15241 | Date 28/04/2025 |
| Token No | SM/25-26/839 28/04/2025 | Serial | 007 Last Visit: 28/04/2025 |
| Patient Name | Miss MONALISHA BANIK | Contact No | 7003861670 |
| Address | 13 ROY GHAT LANE SERAMPORE | Age | 27 Years,0 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||