Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08779 | Date 25/09/2020 |
| Token No | SM/22-23/12966 27/05/2022 | Serial | 029 Last Visit: 12/11/2025 |
| Patient Name | Mrs. MAYABATI SOM | Contact No | 8100245228 |
| Address | 124A CHATRA BARUIPARA LANE SERAMPORE | Age | 60 Years,10 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | 151.7 cm BMI: 25.637806 |
| Diagnosis | |||