Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09142 | Date 08/01/2021 |
| Token No | SM/25-26/14384 27/08/2026 at 10:08 | Serial | 002 Last Visit: 27/08/2026 |
| Patient Name | Mrs. SUDIPTA CHAKRABORTY | Contact No | 9123996482 |
| Address | 11/D DR. P.N. MUKHERJEE STREET CHATRA SERA,MPORE | Age | 44 Years,7 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/72 mmHg | Weight | 49 KG |
| Pulse Rate | 93 / min | Height | 147.7 cm BMI: 22.461310 |
| Diagnosis | |||