Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15415 | Date 28/05/2025 |
| Token No | SM/25-26/8896 17/12/2025 | Serial | 058 Last Visit: 17/12/2025 |
| Patient Name | Mrs. EMILI SAHA | Contact No | 8910501370 |
| Address | 42 NO S.C CHATTERJEE SARONI | Age | 42 Years,8 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 22.640865 |
| Diagnosis | |||