Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03294 | Date 01/02/2019 |
| Token No | SM/22-23/13815 21/06/2022 | Serial | 038 Last Visit: 14/07/2025 |
| Patient Name | Mrs. SEBIKA NAYAK | Contact No | 7003131791 |
| Address | 11/G/A G T ROAD,MANIK GHOSH ER BAGAN,BAIDYABATY(M) | Age | 30 Years,6 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 150.1 cm BMI: 27.518852 |
| Diagnosis | |||