Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 16224 | Date 03/11/2025 |
| Token No | SM/25-26/8682 08/12/2025 | Serial | 033 Last Visit: 08/12/2025 |
| Patient Name | Mrs. PRIYANKA DAS SINGH | Contact No | 7980860630 |
| Address | 4/93/B DHARMATALA LANE SERAMPORE | Age | 32 Years,6 Months,12 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50.5 KG |
| Pulse Rate | / min | Height | 141.4 cm BMI: 25.257628 |
| Diagnosis | |||