Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13376 | Date 04/03/2024 |
| Token No | SM/24-25/42875 14/02/2025 | Serial | 012 Last Visit: 10/12/2025 |
| Patient Name | Mrs. SUDIPTA SOM | Contact No | 8240773859 |
| Address | 118/A BARUI PARA LANE CHATRA SERAMPORE | Age | 54 Years,3 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 128/84 mmHg | Weight | 64.4 KG |
| Pulse Rate | / min | Height | 161 cm BMI: 24.844720 |
| Diagnosis | |||