Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16349 | Date 08/12/2025 |
| Token No | SM/25-26/8688 08/12/2025 | Serial | 039 Last Visit: 10/12/2025 |
| Patient Name | Mrs. TRISA SADHUKHAN | Contact No | 9073040368 |
| Address | 40/3/A A.P.GHOSH ROAD,CHATRA,SERAMPORE | Age | 24 Years,7 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64.8 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 28.419806 |
| Diagnosis | |||