Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11396 | Date 05/08/2022 |
| Token No | SM/22-23/15449 05/08/2022 | Serial | 038 Last Visit: 26/06/2025 |
| Patient Name | Mrs. MANASHI DEY | Contact No | 9088250589 |
| Address | 5 VIVEKANANDA LANE | Age | 59 Years,5 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44.5 KG |
| Pulse Rate | / min | Height | 143.8 cm BMI: 21.519999 |
| Diagnosis | |||