Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00164 | Date 06/08/2018 |
| Token No | SM/22-23/23812 23/08/2023 | Serial | 021 Last Visit: 13/12/2025 |
| Patient Name | Mrs. PROVATI SHAW | Contact No | 8013504463 |
| Address | 2 DAKSHIN BHATTACHARJEE PARA, BAIDYABATI (M) | Age | 62 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 26.638918 |
| Diagnosis | |||