Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09048 | Date 14/12/2020 |
| Token No | SM/25-26/8914 18/12/2025 | Serial | 018 Last Visit: 18/12/2025 |
| Patient Name | Mrs. DIPALI MONDAL | Contact No | 8961293599 |
| Address | 72 K M SAHA STREET SERAMPORE | Age | 28 Years,10 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.4 KG |
| Pulse Rate | / min | Height | 146.5 cm BMI: 21.153421 |
| Diagnosis | |||