Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12357 | Date 22/08/2023 |
| Token No | SM/25-26/8518 03/12/2025 | Serial | 024 Last Visit: 11/12/2025 |
| Patient Name | Miss MONALISHA GHOSH | Contact No | 9143342647 |
| Address | BAIDYABATI BOSE PARA | Age | 33 Years,10 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 115/79 mmHg | Weight | KG |
| Pulse Rate | 81 / min | Height | cm BMI: nan |
| Diagnosis | |||