Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11267 | Date 14/07/2022 |
| Token No | SM/22-23/14766 19/07/2022 | Serial | 006 Last Visit: 21/11/2025 |
| Patient Name | Mrs. KABITA BAGCHI | Contact No | 9830591999 |
| Address | 16/A ,A,K. DUTTA SARANI, | Age | 66 Years,10 Months,20 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 24.609375 |
| Diagnosis | |||