Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10545 | Date 11/01/2022 |
| Token No | SM/21-22/10849 17/03/2022 | Serial | 015 Last Visit: 23/08/2025 |
| Patient Name | Mrs. SHREYA MONDAL | Contact No | 7605826157 |
| Address | 10/1 CHATRA GODAR BAGAN CHATRA TETUL TALA | Age | 20 Years,1 Months,25 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||