Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13036 | Date 26/12/2023 |
| Token No | SM/22-23/27664 29/12/2023 | Serial | 037 Last Visit: 03/12/2025 |
| Patient Name | Mrs. SAKUNTALA PANJA | Contact No | 6289160941 |
| Address | 47 GURUDAS BHATTACHARJEE LANE CHATRA BAIDYABATI (M) | Age | 34 Years,11 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.6 KG |
| Pulse Rate | / min | Height | 161 cm BMI: 21.449790 |
| Diagnosis | |||