Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00432 | Date 14/08/2018 |
| Token No | SM/22-23/11423 05/04/2022 | Serial | 031 Last Visit: 08/12/2025 |
| Patient Name | Mrs. CHHAYA DUTTA | Contact No | 8013361718 |
| Address | 16, DUTTA LANE | Age | 50 Years,11 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 136.6 KG |
| Pulse Rate | / min | Height | 34 cm BMI: 1,181.660900 |
| Diagnosis | |||