Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11085 | Date 02/06/2022 |
| Token No | SM/24-25/31367 13/04/2024 | Serial | 029 Last Visit: 08/11/2025 |
| Patient Name | Miss FULESWARI DAS | Contact No | 6290616489 |
| Address | 84, NABIN CHAKRABORTY LANE CHATRA BAIYABATI (M) CHATRA HOOGHLY | Age | 22 Years,10 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.6 KG |
| Pulse Rate | / min | Height | 154.4 cm BMI: 17.030659 |
| Diagnosis | |||