Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12658 | Date 21/10/2023 |
| Token No | SM/22-23/25586 21/10/2023 | Serial | 004 Last Visit: 18/03/2025 |
| Patient Name | Mrs. CHAMPA GUIN | Contact No | 9870139041 |
| Address | CHATRA SHITOLA TOLA , CHATRA SERAMPORE, BAIDYABATI (M) | Age | 58 Years,2 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 142/90 mmHg | Weight | 69.2 KG |
| Pulse Rate | / min | Height | 156.5 cm BMI: 28.253835 |
| Diagnosis | |||