Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00207 | Date 07/08/2018 |
| Token No | SM/22-23/21536 10/05/2023 | Serial | 057 Last Visit: 28/11/2025 |
| Patient Name | Mrs. CHAMPA SADHUKHAN | Contact No | 9681065397 |
| Address | 3 DHARMOTALA LANE CHATRA | Age | 46 Years,10 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | 167 cm BMI: 27.609452 |
| Diagnosis | |||