Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02741 | Date 29/12/2018 |
| Token No | SM/25-26/2322 09/06/2025 | Serial | 086 Last Visit: 10/12/2025 |
| Patient Name | Mrs. JHARNA JALUI | Contact No | 8981194322 |
| Address | CHATRA PATI PARA , BAIDYABATI(M) | Age | 69 Years,11 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 166/82 mmHg | Weight | 39.6 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 19.365250 |
| Diagnosis | |||