Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15398 | Date 27/05/2025 |
| Token No | SM/25-26/1835 27/05/2025 | Serial | 010 Last Visit: 09/10/2025 |
| Patient Name | Mrs. MOUMITA GHOSH SANTRA | Contact No | 8927864850 |
| Address | 34, BHADURI PARA LANE,CHATRA,WEST BENGAL PIN-712204 | Age | 29 Years,11 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63.6 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 29.232979 |
| Diagnosis | |||