Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12254 | Date 18/07/2023 |
| Token No | SM/24-25/38711 28/10/2024 | Serial | 041 Last Visit: 25/02/2025 |
| Patient Name | Mrs. JAYATEE ADHYA | Contact No | 9874272770 |
| Address | 6/H PN CHAKRABORTY LANE | Age | 31 Years,8 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||