Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16223 | Date 03/11/2025 |
| Token No | SM/25-26/8699 08/12/2025 | Serial | 050 Last Visit: 08/12/2025 |
| Patient Name | Mrs. LAKSHMI GHORA | Contact No | 8777321095 |
| Address | 68/N G.T. ROAD WEST SERAMPORE | Age | 19 Years,4 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 27.292760 |
| Diagnosis | |||