Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11316 | Date 22/07/2022 |
| Token No | SM/22-23/21170 17/04/2023 | Serial | 026 Last Visit: 18/10/2025 |
| Patient Name | Mrs. KRISHNA MANNA | Contact No | 9874177160 |
| Address | 16/A CHAKRABORTY LANE | Age | 37 Years,9 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62.7 KG |
| Pulse Rate | / min | Height | 145.4 cm BMI: 29.657786 |
| Diagnosis | |||