Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11259 | Date 12/07/2022 |
| Token No | SM/24-25/42835 12/02/2025 | Serial | 058 Last Visit: 13/10/2025 |
| Patient Name | Mrs. PURNIMA DAS | Contact No | 7605837305 |
| Address | 44 CHATRA DUTTA PARA LANE SERAMPORE BAIDYABATI(M) | Age | 36 Years,9 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65.5 KG |
| Pulse Rate | / min | Height | 149.7 cm BMI: 29.227906 |
| Diagnosis | |||