Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11048 | Date 26/05/2022 |
| Token No | SM/25-26/2626 16/06/2025 | Serial | 065 Last Visit: 11/12/2025 |
| Patient Name | Mrs. ARCHANA ADAK | Contact No | 9143002319 |
| Address | 93, A.P GHOSH ROAD CHATRA SERAMPORE | Age | 58 Years,11 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 22.818537 |
| Diagnosis | |||