Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 14542 | Date 15/11/2024 |
| Token No | SM/24-25/39955 27/11/2024 | Serial | 013 Last Visit: 23/08/2025 |
| Patient Name | Mrs. MADHUMITA SARKAR | Contact No | 8777877457 |
| Address | 217/C RAMKRISHNA ROAD CHATRA BAIDYABATI M | Age | 44 Years,7 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68.5 KG |
| Pulse Rate | / min | Height | 152.4 cm BMI: 29.493115 |
| Diagnosis | |||